Author Question: A client, diagnosed with chronic obstructive lung disease receiving oxygen at 1.5 liters per minute ... (Read 53 times)

bio_gurl

  • Hero Member
  • *****
  • Posts: 524
A client, diagnosed with chronic obstructive lung disease receiving oxygen at 1.5 liters per minute via nasal cannula, is complaining of shortness of breath. What action should the nurse take?
 
  1. Increase the oxygen to 3 liters per minute via nasal cannula.
  2. Lower the head of the client's bed to semi-Fowler's position.
  3. Have the client breathe through pursed lips.
  4. Encourage the client to breathe more rapidly.

Question 2

The client complains of difficulty breathing. Which of the following assessment findings would the nurse commonly associate with that complaint? (Select all that apply.)
 
  1. Use of accessory muscles
  2. Increased respiratory depth
  3. Increased respiratory rate
  4. Decreased respiratory depth
  5. Decreased respiratory rate



frejo

  • Sr. Member
  • ****
  • Posts: 349
Answer to Question 1

Correct Answer: 3
Rationale 1: In the client with chronic obstructive lung disease, the drive to breathe is often dependent upon low oxygen concentration. Increasing oxygen delivery by increasing the oxygen from 1.5 Lpm to 3 Lpm may be dangerous to this client.
Rationale 2: Lowering the head of the bed makes it more difficult to breathe. This client should have the head of the bed elevated to Fowler's position or should be assisted to lean over the overbed table to increase chest excursion.
Rationale 3: The client should be taught to breathe out against pursed lips to increase the time it takes to exhale and to help keep airways open.
Rationale 4: Chronic obstructive lung disease makes it difficult for the client to breathe out, so increasing rate of respirations will not be helpful.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale: Rate, depth, and use of accessory muscles often are assessment findings indicating difficulty breathing. The depth of respirations can be deeper (tidal volume greater than 500 mL of air) or more shallow if partial obstruction is present in conditions such as asthma. Rate is generally increased.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Approximately 70% of expectant mothers report experiencing some symptoms of morning sickness during the first trimester of pregnancy.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

Patients who have been on total parenteral nutrition for more than a few days may need to have foods gradually reintroduced to give the digestive tract time to start working again.

Did you know?

Medications that are definitely not safe to take when breastfeeding include radioactive drugs, antimetabolites, some cancer (chemotherapy) agents, bromocriptine, ergotamine, methotrexate, and cyclosporine.

For a complete list of videos, visit our video library