Respiratory NCLEX questions and Correct Answers

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Respiratory NCLEX questions and With Rationale Version 2023 2024 Success s 1 / 2

Respiratory NCLEX questions and With Rationale Version 2023 2024 Success

• You are preparing to care for a client with a history of COPD on the med surg floor, who

has been admitted with acute exacerbation of COPD. What findings would you expect when you assess this client? Select all that apply

• Decreased 02 saturation on mild exertion.
• Widened diaphragm on chest radiology.
• Increased vital capacity during pulmonary function testing.
• Hypocapnia
• Hyperinflated lung on chest x-ray.

Rationale :

Clinical manifestations of COPD ➔ Hypoxia ➔ Hypercapnia ➔ Dyspnea on exertion and at rest ➔ Oxygen desaturation with exercise ➔ Use of accessory muscles during respiration ➔ Flattened diaphragm ➔ Decreased vital capacity This question is based on content. We must have an understanding of COPD and the pathophysiology. The best strategy here guys is to use the true/ false method when you have select all that apply questions.A.: Correct /true , due to narrowed airway clearance and inability to exchange oxygen for c02 your client will exhibit low 02 saturation levels. Clients with COPD usually sat around 85%.B: Incorrect/ false in a client with COPD the diaphragm will appear flat on x-ray due to accumulated scar tissue and decreased lung compliance from long standing hyperinflation damage.C: incorrect / False: We will see a decreased vital capacity due to damage to the lung tissue and diaphragm D: Incorrect,/false, we know that a client suffering from COPD will have hypercapnia . This occurs because of

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