Practice Question
A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that he has a frequent productive cough and is short of breath. The nurse should anticipate which of the following assessment findings for this client?
Answer Choices:
Correct Answer:
Increased anteroposterior diameter of the chest
Rationale:
🔹Clients with COPD and emphysema commonly develop a barrel-shaped chest, which is reflected by an increased anteroposterior (AP) diameter.
🔹This change occurs over time due to chronic air trapping and lung hyperinflation, which alters chest wall structure.
🔹The AP diameter may approach or equal the transverse diameter in advanced stages of disease.
🔹This finding is a classic physical manifestation of emphysema and supports the diagnosis.
Want to practice more questions like this?
This question is from RN ATI MedSurg Exam 1 which contains 37 questions.
More Questions from This Exam
A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?
Answer Choices:
A. Provide the client with a low protein diet.
B. Instruct the client to use pursed-lip breathing.
C. Restrict the clients fluid intake to less than 2 L/day.
D. Have the client use the early-morning hours for exercise and activity.
A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?
Answer Choices:
A. "Your doctor is a great surgeon. You will be fine:
B. "You may feel scared. Let's talk about what you are afraid of."
C. "I understand your fears. I was a smoker also:
D. "Don’t worry. The important thing is you have now quit smoking."
A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following interventions should the nurse include in the plan?
Answer Choices:
A. Administer low-flow oxygen continuously via nasal cannula.
B. Offer high-protein and high-carbohydrate foods frequently.
C. Place in a prone position.
D. Encourage oral intake of at least 3,000 mL of fluids per day.
A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which of the following actions should the nurse take?
Answer Choices:
A. Disconnect the chest tube from the drainage system during transport.
B. Empty the collection chamber prior to transport.
C. Clamp the chest tube prior to transferring the client to a wheelchair.
D. Keep the drainage system below the level of the client's chest at all times.
A nurse is providing dietary teaching for a client who has chronic obstructive pulmonary disease. Which of the following instructions should the nurse include?
Answer Choices:
A. "Use a bronchodilator I hour before eating."
B. "Eat 3 large meals each day.'
C. "Limit water intake with meals."
D. "Reduce protein intake."
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4