A client diagnosed with chronic obstructive pulmonary disease (COPD)has a pulse oximetry reading of 93%, increased red blood and white blood cell count, temperature of 101°F, pulse 100 bpm, respirations 35 bpm, and a chest x-ray that showed a flattened diaphragm with infiltrates. Based on this data, which order does the nurse question for this client?
A)Antibiotic therapy
B)Nonsteroidal anti-inflammatory agents (NSAIDs)
C)Oxygen by nasal cannula at 3-4 liters/minute
D)Bronchodilators such as an adrenergic stimulating drugs or anticholinergic agents

Question

Quizplus · Accepted Answer

A)Based on the hypoxic drive theory and the need for hypoxia to stimulate breathing, oxygen saturation for clients with COPD should be between 88% and 92%. Therefore, this client may not require oxygen administration at this time, and oxygen at 3-4 L/min may lead to respiratory depression or respiratory failure. The prescriptions for antibiotics, NSAIDs, and bronchodilators are expected for this client's condition.
B)Based on the hypoxic drive theory and the need for hypoxia to stimulate breathing, oxygen saturation for clients with COPD should be between 88% and 92%. Therefore, this client may not require oxygen administration at this time, and oxygen at 3-4 L/min may lead to respiratory depression or respiratory failure. The prescriptions for antibiotics, NSAIDs, and bronchodilators are expected for this client's condition.
C)Based on the hypoxic drive theory and the need for hypoxia to stimulate breathing, oxygen saturation for clients with COPD should be between 88% and 92%. Therefore, this client may not require oxygen administration at this time, and oxygen at 3-4 L/min may lead to respiratory depression or respiratory failure. The prescriptions for antibiotics, NSAIDs, and bronchodilators are expected for this client's condition.
D)Based on the hypoxic drive theory and the need for hypoxia to stimulate breathing, oxygen saturation for clients with COPD should be between 88% and 92%. Therefore, this client may not require oxygen administration at this time, and oxygen at 3-4 L/min may lead to respiratory depression or respiratory failure. The prescriptions for antibiotics, NSAIDs, and bronchodilators are expected for this client's condition.

A Client Diagnosed with Chronic Obstructive Pulmonary Disease (COPD)has a Pulse