The client with COPD has a nursing diagnosis of Ineffective Breathing Pattern. Which action is appropriate to delegate to the experienced LPN/LVN under your supervision?

Correct Answer: C

Rationale: In this scenario, the appropriate action to delegate to the experienced LPN/LVN is option C: Assist the client with basic activities of daily living (ADLs). The rationale for choosing option C is that assisting the client with basic ADLs directly addresses the nursing diagnosis of Ineffective Breathing Pattern in a practical way. By helping the client with activities such as bathing, dressing, and grooming, the LPN/LVN can ensure that the client conserves energy, minimizes exertion, and maintains optimal breathing patterns. Options A, B, and D are not the most appropriate actions to delegate in this case. Option A focuses on observing a specific breathing technique, which may not directly address the client's overall needs related to ADLs and breathing pattern. Option B involves planning a care regimen to increase activity tolerance, which is important but may not be as immediate or essential as assisting with ADLs. Option D, consulting with physical therapy about reconditioning exercises, is important for overall care but does not directly address the immediate ADL needs of the client with COPD and an Ineffective Breathing Pattern diagnosis. From an educational perspective, understanding the rationale behind delegating tasks based on client needs and nursing diagnoses is crucial for nurses and nursing students. It reinforces the importance of prioritizing care tasks, considering individual patient needs, and effective delegation within the healthcare team to provide comprehensive and patient-centered care.

Correct Answer: D

Rationale: In this scenario, option D is the correct answer because keeping a diary to record medication use, symptoms, peak expiratory flow rates, and activity levels is essential for effective asthma management. This practice helps in monitoring the response to treatment, identifying triggers, and making informed decisions about therapy adjustments. Option A is correct as it promotes the importance of regular exercise in maintaining asthma control through improved lung function and overall health. Option B is incorrect because using over-the-counter bronchodilators without consulting a healthcare provider can be dangerous and may mask underlying issues or delay appropriate treatment. Option C is incorrect as it is crucial not only to inform the spouse but also to educate the patient's entire support system about asthma management to ensure timely and effective assistance during an emergency. In an educational context, this question assesses the patient's understanding of asthma self-management strategies. It highlights the significance of patient education in asthma care to prevent exacerbations and enhance quality of life. By choosing option D, the patient demonstrates a comprehensive approach to managing their asthma, reflecting a deeper understanding of the condition and its treatment.

Correct Answer: D

Rationale: The correct answer is D, All these. The wall of the larynx is supported by a combination of cartilages, including the cricoid, thyroid, and arytenoid cartilages. The cricoid cartilage forms the base of the larynx, the thyroid cartilage forms the front and sides, and the arytenoid cartilages sit on top of the cricoid and are involved in vocal cord movement. Each of these cartilages plays a crucial role in supporting and maintaining the structure and function of the larynx. Therefore, all of these cartilages collectively support the wall of the larynx. Choices A, B, and C are incorrect because each of these cartilages individually contributes to the support of the larynx, but it is the combination of all three that fully supports the wall of the larynx.

Correct Answer: D

Rationale: The Bohr effect states that a decrease in pH shifts the oxygen-hemoglobin dissociation curve to the right, promoting the release of oxygen to tissues. This occurs in metabolically active tissues where CO2 is produced, lowering the pH. Choice D is correct because a decrease in blood pH facilitates oxygen unloading. Choices A and B are incorrect because the Bohr effect is related to oxygen release, not uptake. Choice C is incorrect because decreasing CO2 concentration would actually shift the curve to the left.

Correct Answer: B

Rationale: The correct answer is B: Copper. Pinnaglobin is a copper-containing blood pigment found in the plasma of the mollusk Pinna. Copper ions are essential for the formation of this pigment. Iron (Choice A), Manganese (Choice C), and Vanadium (Choice D) are not typically found in Pinnaglobin. Iron is commonly associated with hemoglobin in vertebrates, while manganese and vanadium do not play a significant role in mollusk blood pigments. Therefore, the presence of copper in Pinnaglobin makes Choice B the correct answer.