An admitting nurse is assessing a patient with COPD. The nurse auscultates diminished breath sounds, which signify changes in the airway. These changes indicate to the nurse to monitor the patient for what?
A) Kyphosis and clubbing of the fingers
B) Dyspnea and hypoxemia
C) Sepsis and pneumothorax
D) Bradypnea and pursed lip breathing
Ans: B
Feedback:
These changes in the airway require that the nurse monitor the patient for dyspnea and hypoxemia. Kyphosis is a musculoskeletal problem. Sepsis and pneumothorax are atypical complications. Tachypnea is much more likely than bradypnea. Pursed lip breathing can relieve dyspnea.
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