A patient with a history of chronic obstructive pulmonary disease (COPD) was hospitalized for increasing shortness of breath and chronic hypoxemia (SaO2 levels of 89% to 90%). In planning for discharge, which action by the nurse will be most effective in improving compliance with discharge teaching?

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Fundamentals of Nursing Oxygenation Questions Questions

Question 1 of 5

A patient with a history of chronic obstructive pulmonary disease (COPD) was hospitalized for increasing shortness of breath and chronic hypoxemia (SaO2 levels of 89% to 90%). In planning for discharge, which action by the nurse will be most effective in improving compliance with discharge teaching?

Correct Answer: A

Rationale: Step 1: Identifying the correct answer - Choice A states the patient's history of no acute asthma attacks, which is relevant for a patient with COPD as it indicates good disease management. Step 2: Rationale - Patients with COPD may also have comorbid asthma, so a lack of asthma attacks suggests good control of both conditions, making the patient more likely to adhere to discharge teachings. Step 3: Summary - Choices B, C, and D are incorrect. B is irrelevant to improving compliance, C refers to spirometry testing technique, not compliance, and D suggests non-adherence to medication, which is detrimental in COPD management. Choice A emphasizes disease control and adherence, making it the most effective in improving compliance.

Question 2 of 5

A nurse is caring for a patient receiving chemotherapy. The patient is experiencing nausea. What should the nurse do first?

Correct Answer: B

Rationale: First, corticosteroids help reduce inflammation and can alleviate chemotherapy-induced nausea quickly. Administering antiemetics may not be as effective in this situation. IV fluids may help with hydration but do not directly address nausea. Oral medications may not be effective if the patient is already experiencing nausea. Administering corticosteroids first is the best course of action to promptly address the patient's symptoms.

Question 3 of 5

A nurse is caring for a patient who has had a total knee replacement. The patient is complaining of severe pain. What is the priority intervention?

Correct Answer: D

Rationale: The correct answer is D: Administer an oral anticoagulant. The priority intervention for a patient who has had a total knee replacement and is experiencing severe pain is to administer an oral anticoagulant. This is because after surgery, there is an increased risk of blood clots forming in the legs due to immobility, which can lead to serious complications like pulmonary embolism. Administering an oral anticoagulant helps prevent the formation of blood clots and reduces the risk of these complications. Summary: - Option A (Administer analgesics): While controlling pain is important, in this case, preventing blood clots is the priority. - Option B (Administer antibiotics): Antibiotics are not indicated unless there is an infection present. - Option C (Administer insulin therapy): Insulin therapy is not relevant in this scenario unless the patient has diabetes that requires management.

Question 4 of 5

A nurse is caring for a patient with a history of stroke who is unable to speak. What is the priority nursing action?

Correct Answer: C

Rationale: The correct answer is C: Reposition the patient to prevent aspiration. Aspiration is a serious risk for stroke patients, especially those with difficulty swallowing. Repositioning the patient can help prevent aspiration pneumonia. Performing a swallowing assessment (choice A) is important but repositioning for safety takes precedence. Physical therapy (choice B) is important but not the priority in this situation. Administering a short-acting beta-agonist (choice D) is not relevant to the immediate safety concern of preventing aspiration.

Question 5 of 5

A nurse is caring for a patient with a history of stroke who is exhibiting signs of facial drooping. What should the nurse do first?

Correct Answer: A

Rationale: The correct answer is A: Assess the patient's neurological status. This is the first step to determine the patient's current condition, severity of the stroke, and any potential complications. The nurse needs to assess for any changes in neurological status, such as speech difficulties or weakness in limbs, to determine the appropriate course of action. Administering a vasopressor (B) could potentially worsen the patient's condition if not indicated. Administering IV morphine (C) or steroids (D) would not address the immediate need to assess the neurological status and may delay necessary interventions.

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