Your Patient Is a 55-Year-Old Man with a History of Chronic

question 10

Multiple Choice

Your patient is a 55-year-old man with a history of chronic bronchitis.You have been called to his home today because of an increase in his level of respiratory distress.The patient is on 2 liters per minute of oxygen by nasal cannula at home.Your assessment reveals difficulty speaking due to shortness of breath,leaning forward to breathe,a productive cough,and a respiratory rate of 32 per minute.Which of the following is true concerning the best course of action for this patient?

• A) Because increased blood levels of carbon dioxide are the primary stimulus to breathe, you should encourage the patient to rebreathe his exhaled air from a paper bag.
• B) You should increase the patient's oxygen flow rate to deliver adequate amounts of oxygen to his tissues. If his respiratory rate decreases, you can assist him with a bag-valve-mask device.
• C) You should increase the patient's oxygen flow rate until his respiratory rate decreases and then resume oxygen administration at 2 liters per minute.
• D) You should not increase the patient's oxygen flow rate because of his likely dependence on a hypoxic drive to stimulate breathing.

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Mental Test

A psychological test that measures mental functions, abilities, and capacities.

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A uniform exam extensively employed for university entry across the United States, evaluating abilities in reading, writing, and mathematics.

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