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Question 5: 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.
Correct Answer: A
Explanation:
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
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