The Nurse Notes the Following Findings When Assessing a Patient

question 15

Multiple Choice

The nurse notes the following findings when assessing a patient with COPD. Which require prompt nursing intervention?

• A) The patient is unable to speak without gasping.
• B) The patient's fingernails are noticeably clubbed.
• C) The patient's sputum has turned from yellow to greenish-brown.
• D) The patient has stridor with wheezes heard in all lung fields.
• E) The patient's forced vital capacity has increased from 2.8 to 3.4 L.
• F) The patient has become confused and mildly disoriented.

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Definitions:

Nausea

A feeling of discomfort in the stomach often characterized by an urge to vomit.

Vomiting

The forceful expulsion of the contents of the stomach through the mouth.

Cryotherapy

A treatment method involving the use of extreme cold to freeze and remove abnormal tissue.

Sterile Inflammatory Response

An immune response triggered by non-microbial agents that does not involve live pathogenic bacteria or viruses, but still causes inflammation.