Name: Yi (Jennifer) Ding
Date: January 28, 2016

Question 1: A 72-year-old male patient is admitted to the hospital with diagnosis of chronic obstructive pulmonary disease (COPD). While caring for the patient, the nurse noticed that the patient is experiencing dyspnea. What should the nurse do first?

a. Elevate the head of the bed to 30 to 45 degrees
b. Assess the lungs for adventitious sounds
c. Immediately contact the physician and administer oxygen
d. Encourage the patient to cough and deep breath

Rationale: Before contacting the physician and go further with assessments, the nurse’s priority is to reposition the patient to prevent hypoxia, which can lead to further complications. Elevating the head of the bed to 30 to 45 degrees is able …show more content…
Which of the following findings would indicate the presence of a respiratory track infection?
a. Wheezing when breathing
b. Chest Pain
c. Increase Respiratory rate
d. Productive cough with yellow sputum

Answer: D
Rationale: Typically, the most likely indicator of upper respiratory infections is presented with productive cough with yellow sputum. Wheezing, chest pain, increase respiratory rate is often associated with asthma attack and does not provide a good indication of infection.

Question #10: A nurse working in long-term care is caring for an 89-year-old female patient who is confused and immobile. What is the primary concern regarding fluid and electrolytes when caring for this patients?

a. Falls
b. Dehydration
c. Potassium lost
d. Apnea

Answer: B
Rationale: As the human body age, the thirst mechanism declines overtime. This patient in particular is unconscious and immobile, therefore further increase the risk of dehydration due to inability to express and reach the source of