Question

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

Answer: Oxygen application with a venturi mask.

Step-by-step solution

Analyze the client's condition

The client has COPD (Chronic Obstructive Pulmonary Disease) and has the following lab results: - Serum carbon-dioxide content level: \(42 \mathrm{mEq} / \mathrm{L}\) - Oxygen saturation: \(86\%\) - Blood glucose level: \(190 \mathrm{mg} / \mathrm{dl}\) These results indicate that the client may have hypercapnia (high carbon dioxide levels in the blood), hypoxemia (low oxygen saturation), and hyperglycemia (elevated blood glucose levels). So, we need to select the most appropriate intervention to address this condition.

Evaluate the given options

We have four possible interventions: A. An injection of \(\mathrm{NPH}\) insulin: This intervention is used to treat elevated blood glucose levels. Although the client has hyperglycemia, it may not be his primary concern considering he has COPD, and we need to address the respiratory issues first. B. Oxygen application with a venturi mask: This intervention is designed to deliver accurate oxygen concentrations to COPD clients with hypoxemia, which is the case. C. Renal dialysis using an arterio-venous shunt: This option is used for clients with kidney failure and has no relation to this specific COPD client's condition. D. A prescription for a bronchodilator: These medications can help in alleviating the symptoms of COPD, but they may not be enough to treat acute hypoxemia.

Select the most appropriate intervention

Based on the evaluation of the available options, the most suitable intervention for this client's condition is: B. Oxygen application with a venturi mask This intervention appropriately addresses the key concern of hypoxemia in the client with COPD.