What indicates resolved hopelessness in a patient with a laryngectomy?

Correct Answer: B

Rationale: Independently caring for the laryngectomy tube indicates that the patient has regained control of personal care and hopelessness is at least partially resolved. Letting the nurse and spouse provide care and requesting no visitors may indicate that the patient is still experiencing hopelessness.

Correct Answer: D

Rationale: All of these nursing diagnoses are appropriate for the patient, but the patient's O2 saturation indicates that all body tissues are at risk for hypoxia unless the gas exchange is improved.

Correct Answer: A

Rationale: When COPD occurs in young patients, especially without a smoking history, a genetic deficiency in α1-antitrypsin should be suspected. Because the patient does not smoke, a nicotine patch would not be ordered.

Correct Answer: C

Rationale: β-Blockers such as propranolol can cause bronchospasm in some patients with asthma. The other information will be documented in the health history but does not indicate a need for a change in therapy.

Correct Answer: A

Rationale: The oxygen cycle describes the movement of oxygen through processes like photosynthesis and respiration in the atmosphere.