The nurse is providing care to a client diagnosed with chronic obstruction pulmonary disease (COPD) after years of experiencing emphysema. Which clinical manifestation does the nurse anticipate when assessing this client?

A) Tachycardia
B) Cough
C) Barrel chest
D) Wheezing


Answer: C

Barrel chest occurs because the lungs are chronically overinflated with air, so the rib cage stays partially expanded. While coughing, wheezing, and tachycardia may also be experienced by a client diagnosed with COPD, these are not specific to COPD caused by emphysema.

Nursing

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An organization decides to utilize a silver nanoparticle in the production of a product in order to make the product antimicrobial. This is an example of:

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The client receives zaleplon (Sonata) for sleep. What is the priority teaching by the nurse at the time of discharge?

1. "This drug can be taken indefinitely." 2. "Drinking a cup of tea with this drug will promote relaxation." 3. "It will take about a week for this drug to be effective." 4. "Avoid taking OTC sleep-inducing antihistamines."

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The interaction between each prescription and food or nutritional supplement is unfavora-ble except for which of the following?

a. Warfarin (Coumadin) and ginkgo biloba b. Terazosin (Hytrin) and increased fluids c. Lithium (Eskalith) and low-sodium diet d. Warfarin (Coumadin) and leafy, green vegetables

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The nurse is frustrated by the number of single mothers who receive medical services at no cost. What is the greatest danger of this frustration?

1. The nurse may unintentionally neglect to educate patients on services available. 2. The nurse may be rude to these mothers. 3. This frustration may increase the likelihood that the nurse elects to leave this job position. 4. The frustration may increase the nurse's job stress.

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