Author Question: A client has been diagnosed with chronic obstructive pulmonary disease. Which of the following ... (Read 113 times)

clmills979 · **on:** Jun 25, 2018

A client has been diagnosed with chronic obstructive pulmonary disease. Which of the following nursing diagnoses would be the most important at this time?

1. Activity intolerance
2. Anxiety
3. Impaired gas exchange
4. Nutrition, imbalance

Question 2

A client experienced a spinal cord injury during a football game. The paramedics applied a neck brace prior to moving the client onto a hard board for transportation.

The nurse realizes that the neck brace was provided because the area of the spinal cord most vulnerable to injury is:
1. coccygeal.
2. lumbar.
3. thoracic.
4. cervical.

mcarey591 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

3
Airway and breathing are always a top priority for a client. Once gas exchange is ensured for the client, the other diagnoses of activity intolerance and nutrition imbalance can be addressed. Anxiety would be addressed last for this client.

Answer to Question 2

4
Because of greater movement, the cervical area is the most unstable area of the spinal cord and is the most vulnerable area for injury. The thoracic, lumbar, and coccygeal regions of the spinal cord are more stable and less vulnerable areas for injury.