Assessment and Diagnosis of Chronic Illnesses

Assessment and Diagnosis of Chronic Illnesses ( 4 Questions)

A nurse is assessing a client who has chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse report to the provider?
 



Correct Answer: D

Purulent sputum production indicates a possible infection, which can exacerbate COPD and lead to respiratory failure. The nurse should report this finding to the provider and obtain a sputum culture for further evaluation.

Incorrect options:

A) Barrel-shaped chest - This is a common finding in clients with COPD, due to chronic hyperinflation of the lungs. It does not require immediate intervention.

B) Clubbing of the fingers - This is a sign of chronic hypoxia, which is often seen in clients with COPD. It does not indicate an acute complication.

C) Increased respiratory rate - This is a compensatory mechanism for clients with COPD, who have impaired gas exchange and reduced lung capacity. It does not necessarily indicate a worsening of the condition.




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