A patient with chronic obstructive pulmonary disease (COPD) has ...

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A patient with chronic obstructive pulmonary disease (COPD) has rhonchi throughout the lung fields and a chronic, nonproductive cough. Which nursing intervention will be most effective?
 
  a. Change the oxygen flow rate to the highest prescribed rate.
  b. Teach the patient to use the Flutter airway clearance device.
  c. Reinforce the ongoing use of pursed lip breathing techniques.
  d. Teach the patient about consistent use of inhaled corticosteroids.

Question 2

A young adult female patient with cystic fibrosis (CF) tells the nurse that she is not sure about getting married and having children some day. Which initial response by the nurse is best?
 
  a. Are you aware of the normal lifespan for patients with CF?
  b. Do you need any information to help you with that decision?
  c. Many women with CF do not have difficulty conceiving children.
  d. You will need to have genetic counseling before making a decision.

[rekilledagain]

Answer to Question 1

ANS: B
Airway clearance devices assist with moving mucus into larger airways where it can more easily be expectorated. The other actions may be appropriate for some patients with COPD, but they are not indicated for this patient's problem of thick mucus secretions.

Answer to Question 2

ANS: B
The nurse's initial response should be to assess the patient's knowledge level and need for information. Although the lifespan for patients with CF is likely to be shorter than normal, it would not be appropriate for the nurse to address this as the initial response to the patient's comments. The other responses have accurate information, but the nurse should first assess the patient's understanding about the issues surrounding pregnancy.

[sdfghj]

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