Question

A home health nurse evaluates a patient who has chronic obstructive pulmonary disease. Which assessments would the nurse include in this patient's evaluation? (Select all that apply.) A. Examination of mucous membranes and nail beds B. Measurement of rate, depth, and rhythm of respirations C. Auscultation of bowel sounds for abnormal sounds D. Check peripheral veins for distention while at rest E. Determine the patient's need and use of oxygen

Answer 1

In evaluating a patient with chronic obstructive pulmonary disease (COPD), the nurse should consider the following assessments:

A. Examination of mucous membranes and nail beds - The color of the mucous membranes and nail beds can provide information about the patient's oxygenation status.

B. Measurement of rate, depth, and rhythm of respirations - Assessing the patient's respiratory rate, depth, and rhythm is crucial in COPD to monitor for signs of respiratory distress or worsening symptoms.

E. Determine the patient's need and use of oxygen - Assessing the patient's oxygen needs and their use of supplemental oxygen is essential in managing COPD.

Assessments C and D are not typically directly related to COPD and may not be the primary focus when evaluating a patient with this condition. However, they can be part of a broader assessment if the patient has other comorbidities or specific concerns.