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1. A nurse is assigned to care for a patient with chronic obstructive
pulmonary disease (COPD) who is admitted to the hospital with an
acute exacerbation. The nurse reviews the patient's care plan and
notes that the patient has a goal of maintaining oxygen saturation
above 90%. Which of the following interventions should the nurse
prioritize to achieve this goal?
a) Administer bronchodilators as prescribed
b) Encourage pursed-lip breathing and diaphragmatic breathing
c) Monitor oxygen saturation continuously and adjust oxygen therapy
accordingly
d) Teach the patient about the benefits of smoking cessation
*Answer: c) Monitor oxygen saturation continuously and adjust oxygen
therapy accordingly*
Rationale: Monitoring oxygen saturation continuously and adjusting
oxygen therapy accordingly is the most important intervention to
maintain adequate oxygenation in a patient with COPD.
Bronchodilators, pursed-lip breathing, diaphragmatic breathing, and
smoking cessation are also beneficial, but they are not as urgent as
oxygen therapy.
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