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Chapter 21: Problem 2

The client with COPD is admitted with a serum carbon-dioxide content level of \(42 \mathrm{mEq} / \mathrm{L}\), oxygen saturation of \(86 \%\), and a blood glucose level of \(190 \mathrm{mg} / \mathrm{dl}\). The nurse is aware that the client's condition might require which of the following? A. An injection of \(\mathrm{NPH}\) insulin B. Oxygen application with a venturi mask C. Renal dialysis using an arterio-venous shunt D. A prescription for a bronchodilator

Short Answer

Expert verified
Answer: Solution B, Oxygen application with a venturi mask, is the most suitable for the client with COPD because it addresses the primary concern, which is low oxygen saturation. The other options focus on secondary or unrelated issues.

Step by step solution

01

Analyze the given options

The provided options are: A. An injection of \(\mathrm{NPH}\) insulin B. Oxygen application with a venturi mask C. Renal dialysis using an arterio-venous shunt D. A prescription for a bronchodilator
02

Evaluate the solutions based on the client's condition

A. Injection of \(\mathrm{NPH}\) insulin is used for controlling high blood sugar levels, which is not the primary concern in this case due to the COPD. B. Oxygen application with a venturi mask directly delivers accurate oxygen levels to the client and can help with the low oxygen saturation, which is a concern for someone with COPD. C. Renal dialysis using an arterio-venous shunt is for treating kidney diseases and doesn't address the main issue of COPD. D. A prescription for a bronchodilator helps relax the muscles in the bronchial tubes and improve breathing but doesn't address the low oxygen saturation present in the client.
03

Determine the most appropriate choice

Option B: Oxygen application with a venturi mask is the most suitable choice for the client with COPD. This is because it directly addresses the primary concern - low oxygen saturation - while option A, C, and D focus on other issues that are either secondary or unrelated to the client's COPD.

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