A nurse auscultates a harsh hollow sound over a client's trachea and larynx. What action would the nurse take first?

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Nursing Questions on Oxygenation Questions

Question 1 of 5

A nurse auscultates a harsh hollow sound over a client's trachea and larynx. What action would the nurse take first?

Correct Answer: A

Rationale: Bronchial breath sounds (harsh, hollow) are normal over the trachea and larynx, so documenting the findings is appropriate.

Question 2 of 5

What information does the nurse provide to a woman who wants to decrease her risk for gestational hypertension?

Correct Answer: B

Rationale: Losing weight before pregnancy reduces hypertension risk, a modifiable factor.

Question 3 of 5

The nurse is providing care to a client admitted to the emergency department with the diagnosis of acute respiratory distress syndrome (ARDS). Which clinical manifestation does the nurse expect to assess?

Correct Answer: A

Rationale: Dyspnea (A) is a clinical manifestation of clients experiencing hypoxia secondary to ARDS. Fluid and electrolyte imbalances occur due to nutritional imbalances, and tachycardia, not bradycardia, is expected with hypoxia.

Question 4 of 5

Which of the following triggers can stimulate an acute asthma attack? Select one that doesn't apply.

Correct Answer: C

Rationale: Stress (A), animal dander (B), and exercise (D) are known asthma triggers. Loud noises (C) and bright lights (E) are not typical triggers.

Question 5 of 5

An infant with respiratory syncytial virus (RSV) bronchiolitis is prescribed intubation to maintain an adequate airway. Who will the nurse collaborate with to maintain the airway?

Correct Answer: A

Rationale: The nurse collaborates with a respiratory therapist (A) to maintain the airway of an intubated infant with RSV bronchiolitis.

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