Author Question: The nurse understands that increasing the flow of oxygen to more than 2 L/min in the client with ... (Read 58 times)

jon_i · **on:** Jul 22, 2018

The nurse understands that increasing the flow of oxygen to more than 2 L/min in the client with chronic obstructive pulmonary disease (COPD) could be harmful because it:

1. Is drying to nasal mucosal passages
2. Decreases diaphragmatic excursion and depth
3. Increases the risk of pneumonia and atelectasis
4. Decreases the client's oxygen-based respiratory drive

Question 2

The nursing instructor is reviewing a plan of care formulated by a nursing student who is preparing to instruct a pregnant client in performing Kegel exercises. The nursing instructor asks the student the purpose of the Kegel exercises.

Which of the following responses, made by the student, indicates an understanding of the purpose of these types of exercises? 1. The exercises will help reduce backaches.
2. The exercises will help prevent ankle edema.
3. The exercises will help prevent urinary tract infections.
4. The exercises will help strengthen the pelvic floor in preparation for delivery.

yasmina · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4

Rationale: Normally, respiratory rate varies with the amount of carbon dioxide present in the blood. In clients with COPD, this natural process becomes ineffective after exposure to high carbon dioxide levels for prolonged periods of time. Instead, the level of oxygen provides the respiratory stimulus. The client with COPD cannot increase oxygen levels independently because this could severely decrease the respiratory drive, leading to respiratory failure.

Answer to Question 2

4

Rationale: Kegel exercises will assist in strengthening the pelvic floor. Pelvic tilt exercises will help reduce backaches. Instructing a client to drink 8 oz of fluids six times a day will help pre-vent urinary tract infections. Leg elevation will assist in preventing ankle edema.