Difficulty: Medium
Average Score: 89%
Simulated
A charge nurse is teaching a newly licensed nurse about caring for a client who has COPD. Which of the following instructions should the charge nurse include in the teaching?
Correct answer
A
Rationale
The correct answer is A: Notify me if you observe that the client has distended neck veins. This instruction is crucial for a client with COPD as distended neck veins could indicate worsening heart failure, a common complication. The charge nurse needs to be informed promptly to initiate appropriate interventions.
Choice B is incorrect because maintaining oxygen saturation above 95% may not be feasible nor appropriate for all COPD patients. Choice C is incorrect as clubbing of the fingernails is not a common sign of COPD exacerbation and may not warrant an immediate call to the provider. Choice D is incorrect as ambulating the client just before meals may not be the priority in caring for a client with COPD.
Choice B is incorrect because maintaining oxygen saturation above 95% may not be feasible nor appropriate for all COPD patients. Choice C is incorrect as clubbing of the fingernails is not a common sign of COPD exacerbation and may not warrant an immediate call to the provider. Choice D is incorrect as ambulating the client just before meals may not be the priority in caring for a client with COPD.