a client with chronic obstructive pulmonary disease copd is admitted to the hospital for pneumonia which intervention should the nurse prioritize a client with chronic obstructive pulmonary disease copd is admitted to the hospital for pneumonia which intervention should the nurse prioritize
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Nursing Elites

ATI RN

ATI Pathophysiology Exam 1

1. A client with chronic obstructive pulmonary disease (COPD) is admitted to the hospital for pneumonia. Which intervention should the nurse prioritize?

Correct answer: C

Rationale: Administering IV antibiotics is crucial for treating pneumonia in a client with COPD. Pneumonia is an infection of the lungs that requires prompt antibiotic therapy to prevent complications and improve outcomes. While bronchodilators may help with COPD symptoms, in the case of pneumonia, addressing the infection is the priority. Continuous monitoring of oxygen saturation is important, but administering antibiotics to treat the underlying infection takes precedence. Respiratory therapy treatments can be beneficial, but they are not the initial priority when managing pneumonia in a client with COPD.

2. When a patient is prescribed an oral anticoagulant, what should the nurse monitor for?

Correct answer: C

Rationale: When a patient is prescribed an oral anticoagulant, the nurse should monitor for signs of bleeding. Oral anticoagulants work by inhibiting the blood's ability to clot, which increases the risk of bleeding. Monitoring for signs of bleeding such as easy bruising, petechiae, hematuria, or bleeding gums is crucial to prevent complications. Elevated blood glucose (Choice A) is not directly related to oral anticoagulant use. Decreased blood pressure (Choice B) is not a common effect of oral anticoagulants. Increased appetite (Choice D) is not a typical side effect of oral anticoagulants and is not a primary concern when monitoring a patient on this medication.

3. A client is hospitalized with a urinary tract infection (UTI). Which clinical manifestation alerts the nurse to the possibility of a complication from the UTI?

Correct answer: Fever and chills

Rationale: Fever and chills are systemic symptoms that may indicate a more severe infection or a complication of a urinary tract infection (UTI). While burning on urination and cloudy, dark urine are common symptoms of UTI, fever and chills suggest a more serious condition requiring immediate attention. Hematuria, which is blood in the urine, is also a concerning symptom but is more indicative of inflammation or infection rather than a complication.

4. When caring for a client with Alzheimer's disease, what is the most appropriate communication technique for a nurse to use?

Correct answer: C

Rationale: When communicating with clients with Alzheimer's disease, using simple and direct statements is the most appropriate technique. This approach helps to minimize confusion, enhance understanding, and facilitate effective communication with individuals who may have difficulty processing complex information due to their condition.

5. Understanding the causes of mental disorders is important because ________

Correct answer: C

Rationale: Understanding the causes of mental disorders is crucial because it can potentially lead to both prevention and cure. By identifying the root causes, strategies can be developed to prevent the onset of disorders, and effective treatments can be tailored to address these causes directly. This approach can make treatments more efficient, as addressing the underlying factors contributing to the disorder can result in better outcomes for individuals. Choices A and B are incorrect because while understanding causes is important for effective treatment and classification, the primary focus is on prevention and cure. Choice D, while highlighting the impact of disagreements on advancements in abnormal psychology, does not directly address the importance of understanding causes for prevention and cure.

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