Oxygenation/COPD

Why should the nurse who is caring for a client with COPD encourage the client to quit smoking?

• smoking decreases the amount of mucus production

• smoking allows hemoglobin to become highly oxygenated

• smoking shrinks the alveoli in the lungs

• smoking damages the ciliary cleaning mechanism

Which of the following is NOT a sign of cyanosis or chronic hypoxemia?

• Bluish discoloration of skin

• Clubbed nail beds

• Pruritis

• Gray discoloration of skin in darker pigmented patients

Which is a common side effect of SABA bronchodilators?

• Weight gain

• Seizures

• Arthralgia

• Heart palpitations

Which of the following is NOT a risk factor for developing COPD?

• Smoking

• Female gender

• Exposure to second-hand smoke

• Occupational exposure to respiratory irritants

A patient with COPD is being discharged on 2L/min O₂. What education should nurse provide on home 0₂ use?

• Because of his need for 0₂, the client should limit activity at home.

• The use of 0₂ will eliminate patient's shortness of breath.

• Precautions are needed since 0₂ can spontaneously ignite and explode

• Use 0₂ during activity to relieve the strain on client's heart.

What may occur if COPD patient receives too much O₂?

• hyperventilation

• tachypnea

• hypoventilation or apnea

• increased snoring

What is the main risk factor for pulmonary infection in COPD patient?

• Pooling of respiratory secretions

• Fluid imbalance with pitting edema

• Decreased fluid intake and loss of body weight

• Decreased anterior-posterior chest diameter

What long-term problem should the nurse monitor for in an emphysema patient?

• Localized tissue necrosis

• CO₂ retention

• Increased respiratory rate

• Saturated hemoglobin molecules

A nurse administer O₂ via 2L NC to an emphysema patient. What should nurse monitor for closely?

• Anxiety

• Drowsiness or mental confusion

• Cyanosis

• Increased respirations

A patient on Fluticasone (Flovent) should be educated about

• Possible tachycardia/palpitations

• Limiting caffeine intake

• Rinsing mouth after each use

• Possible increase in anxiety