The nurse is planning care for the client diagnosed with chronic obstructive pulmonary disease (COPD) who has a breathing rate of 32 per minute, elevated blood pressure, and fatigue. Which nursing diagnosis is the priority for this client?

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Oxygenation NCLEX Questions Quizlet Questions

Question 1 of 5

The nurse is planning care for the client diagnosed with chronic obstructive pulmonary disease (COPD) who has a breathing rate of 32 per minute, elevated blood pressure, and fatigue. Which nursing diagnosis is the priority for this client?

Correct Answer: D

Rationale: An elevated breathing rate and fatigue indicate an Ineffective Breathing Pattern (D) as the priority, addressing the primary respiratory issue.

Question 2 of 5

Which of the following actions should the nurse instruct the ancillary staff to initiate first when it is determined that the patient's oxygen saturation is not within normal limits?

Correct Answer: B

Rationale: Promptly reporting to the nurse ensures timely clinical decision-making and intervention, which is critical when oxygen saturation is abnormal.

Question 3 of 5

What is the ozone layer? What is responsible for the depletion of the ozone layer?

Correct Answer: A

Rationale: The ozone layer absorbs UV rays, and chemicals like CFCs and HCFCs deplete it, as described.

Question 4 of 5

Surfactant is produced by what cells in the alveoli?

Correct Answer: B

Rationale: Type II pneumocytes in the alveoli produce surfactant, a substance that reduces surface tension to prevent alveolar collapse during breathing.

Question 5 of 5

Mang dagul, a 50 year old chronic smoker was brought to the E.R because of difficulty in breathing. Pleural effusion was the diagnosis and CTT was ordered. What does C.T.T Stands for?

Correct Answer: B

Rationale: CTT stands for chest tube thoracostomy, a procedure to drain fluid or air from the pleural space.

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