Chronic obstructive pulmonary disease (COPD) is a pathological condition resulting from exposure to irritants (especially tobacco smoke). The primary signs of COPD are

a. Coughing and cyanosis
b. Coughing and dyspnea
c. Coughing and a bright pink color from the carbon dioxide
d. Coughing and hemoptysis


B
The lungs become hyperinflated and the diaphragm flattens in a patient with COPD. The patient needs to use the abdominal and intercostal muscles to breathe. Use of these muscles requires more energy than use of the diaphragm, and this causes the dyspnea. Coughing is a classic symptom of COPD and is due to damage of the alveoli.

Nursing

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Generalizing about decline of most functional aspects of the older adult, the nurse recognizes that one area that is not physically affected by age is:

a. physical activity. b. productivity. c. cognition. d. sexuality.

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For a nurse to practice safely and ethically in a designated role the nurse must display___________

a. knowledge c. willingness b. competence d. leadership

Nursing

There are many factors that influence the decision to use a specific drug regimen. Consideration of which of the following factors includes evaluating the drug's therapeutic index?

a. Safety b. Tolerability c. Efficacy d. Price e. Simplicity of use

Nursing

Which finding most concerns the nurse that the client has pernicious anemia?

1. The client takes a daily antacid tablet. 2. Report of tingling and hand clumsiness 3. B12 level 300 pg/mL 4. Bowel movement frequency is every three days.

Nursing