ATI RN
Chapter 41 Oxygenation NCLEX Questions Questions
Question 1 of 5
A client with asthma is prescribed a corticosteroid inhaler. What should the nurse emphasize in client teaching?
Correct Answer: B
Rationale: The correct answer is B: Rinse your mouth after each use to prevent thrush. This is crucial because corticosteroid inhalers can increase the risk of developing oral thrush due to their effect on the oral mucosa. Rinsing the mouth after each use helps remove any medication residue and reduces the risk of fungal infections. Option A is incorrect as corticosteroid inhalers are maintenance medications, not just for asthma attacks. Option C is incorrect because bronchodilators should be used before corticosteroid inhalers. Option D is incorrect as there is no need to specifically increase fluid intake after using the inhaler.
Question 2 of 5
The nurse is teaching a patient about home care following discharge after a thoracentesis. Which statement by the patient indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because lifting anything heavier than 20 pounds can strain the area where the thoracentesis was performed, leading to complications like bleeding or pain. A: Indicates awareness of potential respiratory issues. B: Rest is essential for recovery. D: Monitoring for signs of infection at the site is crucial. It's important for the patient to understand and follow all post-procedure instructions to ensure proper healing and prevent complications.
Question 3 of 5
The nurse is preparing a patient for a thoracentesis. Which action is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Position the patient sitting upright and leaning forward on a table. This position allows for easier access to the thoracic cavity and helps prevent potential complications such as pneumothorax. Prone position (A) makes access difficult, NPO for 8 hours (B) is unnecessary for this procedure, and Trendelenburg position (D) can increase the risk of aspiration.
Question 4 of 5
A patient presents with sudden chest pain and dyspnea. Which condition should the nurse suspect?
Correct Answer: A
Rationale: The correct answer is A: Pulmonary embolism. Sudden chest pain and dyspnea are classic symptoms of a pulmonary embolism, which is a blockage in one of the pulmonary arteries. This condition requires immediate medical attention due to the risk of serious complications like pulmonary infarction. Pneumothorax (B) presents with sharp chest pain and shortness of breath but is more commonly associated with trauma or underlying lung disease. Pneumonia (C) typically presents with gradual onset of symptoms such as fever and productive cough. Asthma attack (D) presents with wheezing and coughing, usually triggered by allergens or exercise.
Question 5 of 5
The nurse is monitoring a patient after a bronchoscopy. Which finding requires immediate intervention?
Correct Answer: B
Rationale: The correct answer is B: Oxygen saturation of 89%. A low oxygen saturation level of 89% indicates hypoxemia and requires immediate intervention to prevent complications like tissue damage or organ failure. Oxygen is essential for cellular function, and a saturation below 90% is concerning. Coughing with blood-tinged sputum (A) is common post-bronchoscopy. Hoarseness and sore throat (C) are expected due to the procedure. Mild chest discomfort (D) is also common post-bronchoscopy and may not require immediate intervention.