A patient arrives in the ear, nose, and throat clinic complaining of a piece of tissue being 'stuck up my nose' and with foul-smelling nasal drainage from the right nare. Which action should the nurse take first?

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Oxygen Therapy NCLEX Questions Questions

Question 1 of 5

A patient arrives in the ear, nose, and throat clinic complaining of a piece of tissue being 'stuck up my nose' and with foul-smelling nasal drainage from the right nare. Which action should the nurse take first?

Correct Answer: A

Rationale: A foreign body requires prompt provider intervention; notifying them first ensures timely removal.

Question 2 of 5

Which action by the nurse will be most effective in decreasing the spread of pertussis in a community setting?

Correct Answer: C

Rationale: Adult pertussis boosters (Tdap) prevent transmission, addressing the root cause of community spread.

Question 3 of 5

A patient hospitalized with chronic obstructive pulmonary disease (COPD) is being discharged home on O₂ therapy. Which instruction should the nurse include in the discharge teaching?

Correct Answer: C

Rationale: O₂ therapy improves survival and quality of life in COPD; other options are incorrect or outdated.

Question 4 of 5

The clinic nurse makes a follow-up telephone call to a patient with asthma. The patient reports having a baseline peak flow reading of 600 L/min, and the current peak flow is 420 L/min. Which action should the nurse take first?

Correct Answer: B

Rationale: 420 L/min (70% of baseline) is in the yellow zone, warranting albuterol use first.

Question 5 of 5

Which abnormal value requires immediate intervention to improve oxygenation?

Correct Answer: D

Rationale: All the values are abnormal, but the low PaO2 indicates that the patient is at the point on the oxyhemoglobin dissociation curve where a small change in the PaO2 will cause a large drop in the O2 saturation and a decrease in tissue oxygenation. The nurse should intervene immediately to improve the patient's oxygenation.

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