A client with chronic obstructive pulmonary disease (COPD) is experiencing difficulty with copious amounts of tenacious sputum. A mucolytic drug is prescribed. The outcome the nurse would track is:
1. increase in clearance of sputum.
2. decrease in respiratory rate with increase in depth.
3. resolution of atrial tachycardia.
4. decrease in wheezing.
Correct Answer: 1
Rationale 1: The intent of mucolytic therapy is to loosen the mucus so that it can be more easily expectorated.
Rationale 2: Any effects on respiratory rate and depth are secondary to the clearance of mucus.
Rationale 3: Heart rate is not directly affected by mucolytics.
Rationale 4: Wheezing is caused by constriction of the smooth muscle in the bronchial walls and is not affected by mucolytics.
Global Rationale: Mucolytics are agents given to loosen thick viscous bronchial secretions. These agents are often used along with bronchodilators and anti-inflammatory agents in the treatment of chronic obstructive pulmonary disease. They do not directly affect respiratory rate, heart rhythm, or wheezing.
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