Author Question: The client with chronic obstructive pulmonary disease (COPD) is experiencing exacerbation of the ... (Read 95 times)

mrsjacobs44 · **on:** Jul 22, 2018

The client with chronic obstructive pulmonary disease (COPD) is experiencing exacerbation of the disease. The nurse would determine that which of the following documented in the client's record is an expected finding with this client?

1. Increased oxygen saturation with ambulation
2. Hyperinflation of lungs documented by chest x-ray
3. A widened diaphragm documented by chest x-ray
4. A shortened expiratory phase of the respiratory cycle

Question 2

The nurse has assisted in performing a nonstress test on a pregnant client and is reviewing the documentation related to the results of the test. The nurse notes that the physician has docu-mented the test results as reactive.

The nurse interprets that this result indicates: 1. Normal findings
2. Abnormal findings
3. The need for further evaluation
4. That the findings on the monitor were difficult to interpret

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

Answer to Question 1

2

Rationale: The clinical manifestations of COPD are several, including hypoxemia; hypercapnia; dyspnea on exertion and at rest; oxygen desaturation with exercise; use of accessory respiratory muscles; and prolonged exhalation. Chest x-ray results indicate a hyperinflated chest and may indicate a flattened diaphragm if the disease is advanced.

Answer to Question 2

1

Rationale: A reactive nonstress test is a normal result. To be considered reactive, the baseline must be within normal range (110 to 160 beats/min with good long-term variability), and there must be two or more fetal heart rate accelerations of at least 15 beats/min, each with a duration of at least 15 seconds, in a 20-minute interval. Therefore, the other options are incorrect.