Author Question: Which statement(s) is/are true regarding the nursing assessment of a patient with a respiratory ... (Read 49 times)

waynest · **on:** Jul 24, 2018

Which statement(s) is/are true regarding the nursing assessment of a patient with a respiratory disorder? (Select all that apply.)

a. Central cyanosis typically is observed on the fingers and earlobes.
b. Clubbing of the fingernails is a sign of hypoxia.
c. As oxygen levels diminish, mental alertness will progressively deteriorate.
d. The normal respiratory rate in an adult is 10 breaths/min.
e. Episodes of apnea are present in Cheyne-Stokes.

Question 2

A resident in a long-term care facility diagnosed with COPD has a new medication order for indacaterol. When the nurse is providing education to the resident regarding this medication, information will include that

a. it is a short-acting beta antagonist.
b. the patient should wait approximately 5 minutes between inhalations.
c. onset of action is within 5 minutes.
d. duration of action is about 12 hours.

lolol · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: B, C, E
Fingernail clubbing is a sign of hypoxia. Mental status will deteriorate as the oxygen level in the body diminishes. Apnea is present in Cheyne-Stokes respirations. Central cyanosis is not observed on the fingers and earlobes. The normal respiratory rate in an adult is more than 10 breaths/min.

Answer to Question 2

ANS: C
Onset of action is within 5 minutes. Indacaterol is an ultra-long-acting beta 2 agonist.
Patients using inhaled bronchodilators should wait approximately 10 minutes. Duration of action is about 24 hours.