Author Question: The nurse is providing care to an adult client with a long history of chronic obstructive pulmonary ... (Read 81 times)

sjones · **on:** Jun 25, 2018

The nurse is providing care to an adult client with a long history of chronic obstructive pulmonary disease (COPD). The client is admitted to the intensive care unit with a pneumothroax. Which interventions are appropriate for this client?

Select all that apply.
A) Elevate head of the bed
B) Administer a high rate of oxygen by nasal cannula
C) Prepare for a chest tube insertion
D) Administer prescribed antihypertensive medications
E) Administer intravenous caffeine per order

Question 2

The nurse is planning care for a client whose waist circumference is 48 inches and height is 5 feet, 2 inches. Based on this data, which topics are appropriate for the nurse to include in the client teaching?

Select all that apply.
A) Chronic lung disease
B) Osteoarthritis
C) Type 2 diabetes mellitus
D) Heart disease
E) High blood pressure

Kingjoffery · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A, C

The nurse providing care to a client with COPD and a pneumothorax would elevate the head of the bed due to the client's dyspnea and orthopnea and prepare for a chest tube insertion. Because clients with COPD have a decreased response to hypercarbia which stimulates breathing, a high rate of oxygen by nasal cannula is inappropriate. This client is stimulates to breathe by decreased levels of oxygen. Too much oxygen will cause apnea. There is no indication that the client is experiencing hypertension. IV caffeine is administered to premature infants as a respiratory stimulant. This intervention is not appropriate for an adult client diagnosed with COPD and a pneumothorax.

Answer to Question 2

Answer: C, D, E

The waist-to-height ratio is calculated by dividing the circumference of the waist in inches by the height in inches. For this client, the waist-to-height ratio is 0.86, which places the client in the category of high risk for chronic diseases such as type 2 diabetes mellitus, heart disease, and high blood pressure. The risk for chronic lung disease and osteoarthritis is not determined by the waist-to-height ratio.