A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. What should the nurse assess for first?

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Oxygen Therapy NCLEX Questions Questions

Question 1 of 5

A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. What should the nurse assess for first?

Correct Answer: A

Rationale: Hypokalemia can cause cardiac arrhythmias, a life-threatening complication, making it the priority assessment.

Question 2 of 5

The nurse identifies which nursing diagnosis as the priority for a client with acute respiratory distress syndrome (ARDS)?

Correct Answer: B

Rationale: Impaired Spontaneous Ventilation (B) is the priority in ARDS due to the severe respiratory compromise requiring immediate attention to maintain oxygenation.

Question 3 of 5

The nurse is providing care to a client diagnosed with chronic obstructive pulmonary disease (COPD) after years of experiencing emphysema. Which clinical manifestation does the nurse anticipate when assessing this client?

Correct Answer: C

Rationale: Barrel chest (C) is a classic sign of emphysema in COPD due to chronic air trapping and lung hyperinflation.

Question 4 of 5

Which population should the nurse assigned to care for pediatric clients recognize as having the highest risk of hospitalization due to RSV?

Correct Answer: C

Rationale: Native American infants (C), including Alaskan Natives, have the highest risk of RSV hospitalization due to genetic and environmental factors.

Question 5 of 5

The primary purpose of measuring the oxygen saturation of a patient whose respiratory rate is above normal limits is to:

Correct Answer: A

Rationale: Oxygen saturation reflects how effectively oxygen is being transported in the blood, providing a direct assessment of respiratory function when the rate is elevated.

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