Chronic obstructive pulmonary disease (COPD) 2023

Chronic obstructive pulmonary disease (COPD) 2023 When assessing the client with COPD, which health promotion information would be most important for the nurse to obtain? 1. Number of years the client has smoked. 2. Risk factors for complications. 3. Ability to administer inhaled medication. 4. Possibility for lifestyle changes. - ANS-1. This would be information needed to treat the cause but not the most important in health promotion. 2. The risk factors for complications would be important in planning care. 3. Assessing the ability to deliver medications would be important when teaching the client. ***4. The possibility of lifestyle changes is most important in health promotion. The most important is smoking cessation. The nurse needs to assess if the client has the willingness to consider cessation of smoking and carry out the plan. If the client refuses to stop, treatment will need to be altered. TEST-TAKING HINT: The test taker needs to read the question for words such as "health promotion." These words make all the other answer options wrong because they do not promote health. The client diagnosed with an exacerbation of COPD is in respiratory distress. Which intervention should the nurse implement first? 1. Assist the client into a sitting position at 90 degrees. 2. Give oxygen at six (6) LPM via nasal cannula. 3. Monitor vital signs with the client sitting upright. 4. Notify the health-care provider about the client's status. - ANS-***1. The client should be assisted into a sitting position either on the side of the bed or in the bed. This position decreases the work of breathing. Some clients find it easier sitting on the side of the bed leaning over the bed table. The nurse needs to maintain the client's safety. 2. Oxygen will be applied as soon as possible,but the least amount possible. If levels of oxygen are too high, the client may stop breathing. 3. Vital signs need to be monitored, but this is not the first priority. If the equipment is not in the room, another member of the health-care team should bring it to the nurse. The nurse should stay with the client. 4. The health-care provider will need to be notified, but the client needs to be treated first. The nurse should get assistance if possible so that the nurse can treat this client quickly. Continues...