ATI LPN
COPD Patient Care Question Questions
Question 1 of 5
A 57 year-old male client has a hemoglobin of 10 mg/dl and a hematocrit of 32%. What would be the most appropriate follow-up by the home care nurse?
Correct Answer: A
Rationale: Low Hgb/Hct suggests possible GI bleeding, warranting immediate inquiry.
Question 2 of 5
The nurse is caring for a child who has just returned from surgery following a tonsillectomy and adenoidectomy. Which action by the nurse is appropriate?
Correct Answer: D
Rationale: Observing swallowing detects bleeding, a critical post-tonsillectomy concern.
Question 3 of 5
The nurse in a well-child clinic examines many children on a daily basis. Which of the following toddlers requires further follow up?
Correct Answer: A
Rationale: Most children walk by 12-15 months; inability at 13 months warrants evaluation.
Question 4 of 5
Which of the following conditions assessed by the nurse would contraindicate the use of benztropine (Cogentin)?
Correct Answer: C
Rationale: Benztropine's anticholinergic effects worsen glaucoma and prostatic hypertrophy.
Question 5 of 5
When assisting a patient with oral hygiene, which action is appropriate?
Correct Answer: D
Rationale: Regular mouth care is essential to maintain oral health, prevent infections, and ensure patient comfort, especially for those unable to perform it themselves. Brushing once a week is inadequate daily care is the standard to remove plaque and bacteria. A firm-bristled brush can damage gums, particularly in frail patients, so softer bristles are preferred. Vigorous flossing risks injuring sensitive tissues and isn't suitable for all patients, especially those with limited mobility or cooperation. Regular mouth care, tailored to the patient's needs (e.g., brushing, swabbing, or rinsing), prevents complications like gingivitis or aspiration pneumonia, which are risks in dependent patients. It's a proactive, gentle approach that prioritizes hygiene and safety.