Try our free nursing testbanks today. click here to join
Teas 7 test, Hesi A2 and Nursing prep
Nursingprepexams LEARN. PREPARE. EXCEL!
  • Home
  • Nursing
  • TEAS
  • HESI
  • Blog
Start Studying Now

Take full exam for free

Which finding would be of MOST concern when the nurse assesses a client with emphysema (COPD)?

A.

barrel chest

B.

respiratory rate of 22 per minute

C.

Oral cyanosis

D.

decreased lung sounds on expiration

E.

Pursed-lip expiration

Answer and Explanation

The Correct Answer is C

A. A barrel chest is a common finding in patients with emphysema due to lung hyperinflation but is not immediately life-threatening.

 

B. A respiratory rate of 22 per minute indicates mild tachypnea, which can be expected in patients with COPD, but is not the most alarming sign.

 

C. Oral cyanosis is a concerning sign that indicates inadequate oxygenation and can suggest severe respiratory distress or failure, necessitating immediate intervention.

 

D. Decreased lung sounds on expiration can occur in emphysema but is not as critical as the presence of cyanosis.

 

E. Pursed-lip expiration is a compensatory mechanism used by patients with COPD to improve breathing efficiency; it is generally a positive adaptive strategy.


Free Nursing Test Bank

  1. Free Pharmacology Quiz 1
  2. Free Medical-Surgical Quiz 2
  3. Free Fundamentals Quiz 3
  4. Free Maternal-Newborn Quiz 4
  5. Free Anatomy and Physiology Quiz 5
  6. Free Obstetrics and Pediatrics Quiz 6
  7. Free Fluid and Electrolytes Quiz 7
  8. Free Community Health Quiz 8
  9. Free Promoting Health across the Lifespan Quiz 9
  10. Free Multidimensional Care Quiz 10
Take full exam free

View Related questions

Correct Answer is A

Explanation

A. Suctioning the tracheostomy is the priority action to clear secretions, which is likely the cause of the noisy, bubbly respirations. This can help the client breathe more easily.

B. Changing the tracheostomy tube is only necessary if the tube is obstructed or malfunctioning, and suctioning is generally the first step.

C. Notifying the healthcare provider may be needed if suctioning is ineffective or if complications persist, but immediate intervention is required.

D. Changing the tracheostomy dressing does not address the respiratory noise or potential secretion buildup.

E. A head-to-toe assessment may be needed, but the immediate concern is clearing the airway obstruction.

Correct Answer is A

Explanation

A. Administering oxygen is crucial for clients with pneumonia, as it helps ensure adequate oxygenation, especially if respiratory function is compromised.

B. Allowing the client to choose when to eat does not directly impact the treatment of pneumonia.

C. Restricting family visits is generally not necessary unless infection control policies require it.

D. While rest is important, it is not as critical as maintaining oxygenation.

E. The location of the client in relation to the nurse’s station does not directly affect pneumonia treatment.

Quick Links

Nursing Teas Hesi Blog

Resources

Nursing Test banks Teas Prep Hesi Prep Nursingprepexams Blogs
© Nursingprepexams.com @ 2019 -2025, All Right Reserved.