A client says, My doctor told me that I have COPD and might ...

[clippers!]

A client says, My doctor told me that I have COPD and might develop emphysema. I always thought I had chronic bronchitis. How should the nurse respond to this statement?
 
  1. Are you certain he didn't say you have asthma?
  2. Chronic bronchitis doesn't have anything to do with COPD.
  3. COPD is either asthma, chronic bronchitis, or emphysema, or a combination of those disorders.
  4. As COPD progresses it becomes emphysema.
  5. Both diagnoses are correct.

Question 2

A client has been prescribed a leukotriene modifier. Which assessment finding would cause the nurse to question this prescription?
 
  1. The client is 54 years old.
  2. The client reports frequent foot cramps.
  3. The client reports drinking two or three mixed alcohol drinks each day.
  4. The client has chronic hepatitis C.
  5. The client has a history of a CVA two years ago.

[lucas dlamini]

Answer to Question 1

Correct Answer: 3,4,5
Rationale 1: There would be no reason to ask this question. It is logical that a client with chronic bronchitis would have a COPD diagnosis.
Rationale 2: The three specific COPD conditions are asthma, chronic bronchitis, and emphysema.
Rationale 3: The three specific COPD conditions are asthma, chronic bronchitis, and emphysema.
Rationale 4: COPD is progressive, with the terminal stage being emphysema.
Rationale 5: Chronic bronchitis is a form of COPD, so both diagnoses are plausible.

Answer to Question 2

Correct Answer: 3,4
Rationale 1: The concern would be for persons over age 65 who may experience increased frequency of infections.
Rationale 2: There is no reason to avoid giving this medication to a client who has foot cramps.
Rationale 3: Chronic alcohol users may not tolerate these medications as they are extensively metabolized by the liver.
Rationale 4: Significant hepatic dysfunction is a contraindication to this medication as it is extensively metabolized by the liver.
Rationale 5: There is no contraindication for the use of this medication in a client with history of CVA.

[clippers!]

Thanks for the timely response, appreciate it

[DylanD1323]

Excellent