A nurse assesses a client and notes that the client has a barrel chest. What question would the nurse ask the client first?

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NCLEX Questions on Oxygen Therapy Questions

Question 1 of 5

A nurse assesses a client and notes that the client has a barrel chest. What question would the nurse ask the client first?

Correct Answer: A

Rationale: Barrel chest (1:1 AP to lateral diameter ratio) is most commonly due to chronic airflow limitation like emphysema, making chronic breathing problems the priority question.

Question 2 of 5

An older client with peripheral vascular disease (PVD) is explaining the daily foot care regimen to the family practice clinic nurse. What statement by the client may indicate a barrier to proper foot care?

Correct Answer: D

Rationale: Shaking hands indicate a coordination issue, potentially hindering proper foot care.

Question 3 of 5

The nurse is conducting an assessment for a client on a medical-surgical unit. Which findings are indicative of a client who is experiencing tachypnea? Select all that apply.

Correct Answer: A

Rationale: Tachypnea is characterized by excessive rapid breathing (A). Chest pain (B) relates to pneumothorax, cyanosis (C) to hypoxemia, and shallow breathing (D) is not specific to tachypnea alone.

Question 4 of 5

Which teaching is appropriate by the nurse for a client prescribed ipratropium bromide (Atrovent)?

Correct Answer: B

Rationale: Taking only prescribed doses (B) prevents overdose of ipratropium, an anticholinergic bronchodilator. Mouth rinsing (A) is for steroids, and water/stomach timing (C, D) is irrelevant.

Question 5 of 5

The nurse is caring for a client with cystic fibrosis who is experiencing thick mucus secretions. Which nursing interventions are appropriate? Select one that doesn't apply.

Correct Answer: C

Rationale: Increased fluids (A), aerosol therapy (B), and percussion (D) help mobilize thick mucus in cystic fibrosis, improving airway clearance.

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