A nurse is caring for a client who received benzocaine spray prior to a recent bronchoscopy. The client presents with continuous cyanosis even with oxygen therapy. What action would the nurse take next?

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NCLEX Questions for Respiratory System Questions

Question 1 of 5

A nurse is caring for a client who received benzocaine spray prior to a recent bronchoscopy. The client presents with continuous cyanosis even with oxygen therapy. What action would the nurse take next?

Correct Answer: B

Rationale: The correct answer is B: Notify the Rapid Response Team. The client's continuous cyanosis despite oxygen therapy indicates a serious respiratory distress requiring immediate intervention. The Rapid Response Team is equipped to assess and manage such critical situations promptly. Administering albuterol (A) is not appropriate without further assessment. Assessing peripheral pulses (C) may not address the underlying cause of cyanosis. Obtaining blood and sputum cultures (D) is important for infection control but not the priority in this acute situation.

Question 2 of 5

A client is being discharged on long-term therapy for tuberculosis (TB). What referral by the nurse is most appropriate?

Correct Answer: D

Rationale: The correct answer is D: Visiting nurses for directly observed therapy. This option ensures proper administration of TB medications by healthcare professionals. Visiting nurses can monitor medication adherence, side effects, and provide education. Referring to a social worker for meals (A) is not directly related to TB treatment. Occupational therapy (B) and physical therapy (C) are not typically indicated for TB treatment.

Question 3 of 5

Which of the following is an initial sign or symptom of acute bronchitis?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

As the charge nurse, you are making assignments for the next shift. Which client should be assigned to the fairly new nurse (2 months) pulled from the surgical unit to the medical unit?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

How do microorganisms reach the lungs and cause pneumonia?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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