Question

Which nursing action best promotes adequate gas exchange for a client with advanced chronic obstructive pulmonary disease (COPD)? SELECT ALL THAT APPLY

A. Using a Venturi mask to deliver oxygen as ordered.

B. Encouraging the client to drink 15 glasses of fluid daily.

C. Maintaining semi to High Fowler's position

. D. Administering a sedative as ordered.

E. Chest physiotherapy (CPT) with inhaled bronchodilators as ordered.

Answer 1

a)using a venture mask to deliver oxygen as order

Using a venturi mask to deliver oxygen as ordered-rationale: the client with copd retains carbon dioxide, which inhibits stimulation of breathing by the medullary center in the brain. as a result, low oxygen levels in the blood stimulate respiration, and administering unspecified, unmonitored amounts of oxygen may depress ventilation. to promote adequate gas exchange, the nurse should use a venturi mask to deliver a specified.

b) encourage the client to drink 15 glasses of fluid daily.

drinking glasses of fluid daily wouldnt affect gas exchange or be sufficient to liquefy secretions, which are common in copd

c) maintaining semi Fowler's position

semi fowler is more effective in lowering shortness of breath when compared to the position of fowler while undergoing therapy nebulizer.