Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Adult

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An adult patient who was diagnosed with chronic obstructive pulmonary disease (COPD) has an acute COPD exacerbation episode. He experiences dyspnea and is anxious. In order to decrease the dyspnea, the nurse’s initial action is to:
  1. Set the oxygen at 6L/min
  2. Teach and encourage the patient to do rhythmic breathing
  3. Assess the vital signs especially the blood pressure
  4. Encourage the patient to breathe using a paper bag
Explanation
Answer - B - In order to decrease the dyspnea, the nurse’s initial action is to teach and encourage the patient to do rhythmic breathing. This method permits more complete exhalation and emptying of carbon dioxide from the lungs, which is the cause for the acute COPD exacerbation episode.
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