Question 1:
A nurse is developing a plan of care for a client who has COPD. The nurse should
include which of the
following interventions in the
... [Show More] plan?
A. Provide the client with a low protein diet.
B. Instruct the client to use pursed-lip breathing.
C. Restrict the client's fluid intake to less than 2 L/day.
D. Have the client use the early-morning hours for exercise and activity.
Show correct answer and explanation
Explanation
Pursed-lip breathing is a technique that helps clients with COPD to exhale more
effectively and prevent air trapping in the lungs. It also reduces dyspnea and
improves oxygenation.
a) A low protein diet is not recommended for clients with COPD, as they need
adequate protein intake to maintain muscle mass and prevent malnutrition.
c) Fluid restriction is not necessary for clients with COPD, unless they have signs
of fluid overload or heart failure. Adequate hydration helps to thin secretions and
facilitate expectoration.
d) Early-morning hours are not the best time for exercise and activity for clients
with COPD, as they may experience more shortness of breath and fatigue due to
diurnal variations in lung function. A better time would be mid-morning or
afternoon, after taking bronchodilators and clearing secretions.
Question 2:
A nurse is assessing a client who is to undergo a left lobectomy to treat lung
cancer. The client tells the nurse that she is scared and wishes she had never
smoked. Which of the following responses should the nurse make?
A. "Your doctor is a great surgeon. You will be fine."
B. "You may feel scared. Let's talk about what you are afraid of."
C. "I understand your fears. I was a smoker also."
D. "Don't worry. The important thing is you have now quit smoking."
Show correct answer and explanation
Explanation
This response is empathetic and therapeutic, as it acknowledges the client's
feelings and invites her to express her concerns. It also shows respect and
interest in the client's perspective.
a) This response is false reassurance and nontherapeutic, as it dismisses the
client's feelings and implies
that the surgery will solve everything.
b) This response is self-disclosure and nontherapeutic, as it shifts the focus from
the client to the nurse and
does not address the client's fears.
d) This response is minimizing and nontherapeutic, as it tells the client how to feel
and does not acknowledge the client's regret or anxiety.
Question 3:
A nurse is planning care for a client who has acute respiratory distress
syndrome (ARDS). Which of the following interventions should the nurse
include in the plan? [Show Less]