A Patient Who Was Admitted with Long-Standing Chronic Obstructive Pulmonary

question 27

Multiple Choice

A patient who was admitted with long-standing chronic obstructive pulmonary disease (COPD) is at risk for respiratory failure. Every 4 hours, the nurse will perform a focused respiratory assessment, which includes which of the following?

• A) Neck vein distention
• B) Color of nailbeds
• C) Presence of sternal retractions
• D) Temperature of extremities
• E) SpO₂

Identify risk factors and safety measures to protect both patients and nurses from injury.

Apply knowledge of patient positioning and alignment to maintain or improve respiratory function, circulation, and skin integrity.

Recognize the signs, causes, and prevention strategies for common complications of immobility such as pressure ulcers, contractures, and orthostatic hypotension.

Understand the principles of effective body mechanics and safe patient transfer techniques to reduce the risk of musculoskeletal disorders among nurses.

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Definitions:

Interpersonal Determinant

Influences on decision-making that stem from interactions with other people, such as peer pressure, cultural norms, or communication with family members.

Family Influences

Refer to the impact that family members have on an individual's attitudes, behavior, beliefs, and values throughout their life.

Attitudes

A person's feelings or opinions about someone or something, typically reflected in their behavior.

Perceptions

The way in which something is regarded, understood, or interpreted by individuals, often influencing their behavior and decisions.