The nurse is providing care to an adult client with a long history of chronic obstructive pulmonary disease (COPD). The client is admitted to the intensive care unit with a pneumothroax. Which interventions are appropriate for this client?
Select all that apply.
A) Elevate head of the bed
B) Administer a high rate of oxygen by nasal cannula
C) Prepare for a chest tube insertion
D) Administer prescribed antihypertensive medications
E) Administer intravenous caffeine per order
Answer: A, C
The nurse providing care to a client with COPD and a pneumothorax would elevate the head of the bed due to the client's dyspnea and orthopnea and prepare for a chest tube insertion. Because clients with COPD have a decreased response to hypercarbia which stimulates breathing, a high rate of oxygen by nasal cannula is inappropriate. This client is stimulates to breathe by decreased levels of oxygen. Too much oxygen will cause apnea. There is no indication that the client is experiencing hypertension. IV caffeine is administered to premature infants as a respiratory stimulant. This intervention is not appropriate for an adult client diagnosed with COPD and a pneumothorax.
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