The nurse is caring for a patient with severe COPD who is becoming increasingly confused and disoriented. What is the priority action of the nurse?
A) Obtain an arterial blood gas to check for carbon dioxide retention.
B) Increase the patient's oxygen until the pulse oximetry is greater than 98%.
C) Lower the head of the patient's bed and insert a nasal airway.
D) Administer a mild sedative and reorient the patient as needed.

Question

Quizplus · Accepted Answer

Confusion and disorientation in a patient with severe COPD may likely be due to carbon dioxide retention. An arterial blood gas should be drawn to determine if this is the case. COPD patients should be kept on low oxygen flow rates whenever possible to avoid impeding the drive to breathe. Lowering the head of the bed will increase the difficulty of breathing as the abdominal contents press on the diaphragm. A sedative will cause respiratory depression and should be avoided.

The Nurse Is Caring for a Patient with Severe COPD