ATI RN
Chapter 41 Oxygenation NCLEX Questions Questions
Question 1 of 5
A client with asthma is using a metered-dose inhaler (MDI) for the first time. Which instruction is most important?
Correct Answer: C
Rationale: The correct answer is C: Hold your breath for 10 seconds after inhaling. This instruction is crucial as it allows the medication to reach deep into the lungs for better absorption and effectiveness. Holding the breath helps prevent the medication from being exhaled too soon. Choice A is incorrect as shaking the inhaler is not necessary for all types of MDIs. Choice B is not the most important instruction as exhaling completely is a general step for using inhalers but not the most critical. Choice D is incorrect as waiting between puffs allows for better absorption and prevents overdose.
Question 2 of 5
The nurse is assessing a client with acute asthma exacerbation. Which finding indicates the condition is worsening?
Correct Answer: A
Rationale: The correct answer is A: Decreased wheezing on auscultation. In acute asthma exacerbation, decreased wheezing indicates airway constriction worsening, leading to decreased airflow. Increased respiratory rate (B) signifies increased effort to breathe due to worsening condition. Oxygen saturation improvement (C) is positive but doesn't indicate worsening. Client reporting reduced shortness of breath (D) is also positive and suggests improvement.
Question 3 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 4 of 5
After the nurse has received a change-of-shift report, which patient should the nurse assess first?
Correct Answer: C
Rationale: The nurse should assess the patient with possible lung cancer who has just returned after bronchoscopy first because this patient may be at risk for complications such as bleeding, respiratory distress, or infection post-procedure. Assessing this patient promptly allows for early identification and intervention if any issues arise. The other choices present conditions that may require assessment but do not have the immediate post-procedure risk associated with bronchoscopy. The patient with pneumonia (choice A) may need assessment for respiratory status, but the urgency is lower than the post-bronchoscopy patient. The patient with chronic bronchitis (choice B) may require monitoring, but the low forced vital capacity does not indicate an acute issue. The patient with hemoptysis and a positive tuberculin skin test (choice D) may need further evaluation for tuberculosis, but the immediate risk is lower than the post-bronchoscopy patient.
Question 5 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.