A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). The patient is experiencing shortness of breath and fatigue. What is the priority action?

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Question 1 of 5

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). The patient is experiencing shortness of breath and fatigue. What is the priority action?

Correct Answer: B

Rationale: The correct answer is B: Administer IV fluids. In a patient with COPD experiencing shortness of breath and fatigue, priority action is to address potential dehydration which can worsen symptoms. IV fluids can help improve hydration status, support oxygen delivery, and decrease respiratory distress. Administering pain relief (choices A and C) is not the priority as the main concern is respiratory distress. Administering a nebulized bronchodilator (choice D) can be beneficial but addressing dehydration takes precedence to optimize respiratory function.

Question 2 of 5

The nurse obtains the following assessment data on an older patient who has influenza. Which information will be most important for the nurse to communicate to the health care provider?

Correct Answer: B

Rationale: Diffuse crackles suggest pneumonia or fluid overload, a serious complication in older influenza patients.

Question 3 of 5

An occupational health nurse works at a manufacturing plant where there is potential exposure to inhaled dust. Which action recommended by the nurse is intended to prevent lung disease?

Correct Answer: C

Rationale: Protective equipment like masks prevents inhalation of dust, a primary prevention strategy for lung disease.

Question 4 of 5

The nurse notes that a patient has incisional pain, a poor cough effort, and scattered coarse crackles after a thoracotomy. Which action should the nurse take first?

Correct Answer: C

Rationale: Pain relief with morphine improves cough effort and lung expansion, addressing the root cause of poor airway clearance.

Question 5 of 5

The nurse teaches a patient about pursed-lip breathing. Which action by the patient would indicate to the nurse that further teaching is needed?

Correct Answer: B

Rationale: Puffing cheeks during exhalation is incorrect; lips should be pursed to control airflow.

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