157.A nurse is providing discharge teaching to a client who has COPD and a new prescription for albuterol. Which of the following statements by the client indicates and understanding of the teaching? a. “This medication can increase my blood sugar levels.” b. “This medication can decrease my immune response.” c. “I can have an increase in my heart rate while taking this medication.” d. “I can have mouth sores while taking this medication.” 158.A nurse is preparing to administer a dose of a new prescription of prednisone to a client who has COPD. The nurse should monitor for which of the following adverse effects of this medication? (Select all that apply.) a. Hypokalemia b. Tachycardia c. Fluid retention d. Nausea e. Black, tarry stools
159.A nurse is discharging a client who has COPD. Upon discharge, the client is concerned that he will never be able to leave his house now that he is on continuous oxygen. Which of the following is an appropriate response by the nurse? a. “There are portable oxygen delivery systems that you can take with you.” b. “When you go out, you can remove the oxygen and then reapply it when you get home.” c. “You probably will not be able to go out at much as you used to.” d. “Home health services will come to see you so you will not need to get out.” 160.Anurse is instructing a client on the use of an incentive spirometer. Which of the following statements by the client indicates an understanding of the teaching? a. “I will place the adapter on my finger to read my blood oxygen saturation level.” b. “I will lie on my back with my knees bent.” c. “I will rest my hand over my abdomen to create resistance.” d. “I will take in a deep breath and hold it before exhaling.” 161.A nurse is planning to instruct a client on how to perform pursed-lip breathing. Which of the following should the nurse include in the plan of care? a. Take quick breaths upon inhalation. b. Place you hand over your stomach. c. Take a deep breath in through your nose. d. Puff your cheeks upon exhalation.
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