Which assessment finding by the nurse supports the diagnosis that a client is in the early stages of chronic obstructive pulmonary disease (COPD)?

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Question 1 of 5

Which assessment finding by the nurse supports the diagnosis that a client is in the early stages of chronic obstructive pulmonary disease (COPD)?

Correct Answer: C

Rationale: Wheezing (C) is an early sign of COPD due to airway narrowing. Dysrhythmias (A), cyanosis (B), and clubbing (D) are later manifestations.

Question 2 of 5

The nurse who is caring for a patient recovering from a left partial lobectomy is concerned about the re-expansion of that lung. Which of the following nursing actions is most likely to result in the positive re-expansion of the affected left lung?

Correct Answer: B

Rationale: Deep breathing and coughing promote lung expansion by preventing atelectasis and clearing secretions, directly aiding re-expansion of the affected lung.

Question 3 of 5

Explain the significance of the oxygen cycle.

Correct Answer: A

Rationale: The oxygen cycle maintains atmospheric oxygen levels, supporting life through processes like breathing and combustion.

Question 4 of 5

Which cell secretes mucus that help protect the lungs by trapping debris in the respiratory tract?

Correct Answer: C

Rationale: Goblet cells in the respiratory tract secrete mucus, which traps debris and pathogens, protecting the lungs as part of the mucociliary clearance system.

Question 5 of 5

Which of the following will alert the nurse as an early sign of hypoxia?

Correct Answer: A

Rationale: Fatigue and dyspnea are early signs of hypoxia as the body struggles to oxygenate tissues, prompting increased respiratory effort.

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