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Exam NCLEX-PN topic 2 question 78 discussion

Actual exam question from Test Prep's NCLEX-PN
Question #: 78
Topic #: 2
[All NCLEX-PN Questions]

A client has chronic respiratory acidosis caused by end-stage chronic obstructive pulmonary disease (COPD). Oxygen is delivered at 1 L/min per nasal cannula.
The nurse teaches the family that the reason for this is to avoid respiratory depression, based on which of the following explanations?

  • A. COPD clients are stimulated to breathe by hypoxia.
  • B. COPD clients depend on a low carbon dioxide level.
  • C. COPD clients tend to retain hydrogen ions if they are given high doses of oxygen.
  • D. COPD clients thrive on a high oxygen level.
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Suggested Answer: A 🗳️
COPD clients are compensating for low oxygen and high carbon dioxide levels. Hypoxia is the main stimulus to breathe in persons with chronic hypercapnia.
Increasing the level of oxygen decreases the stimulus to breathe. Physiological Adaptation
by [deleted] at March 10, 2025, 5:24 a.m.

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