After a laryngectomy, a patient coughs violently during suctioning and dislodges the tracheostomy tube. Which action should the nurse take first?

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NCLEX Style Questions on Oxygenation Questions

Question 1 of 5

After a laryngectomy, a patient coughs violently during suctioning and dislodges the tracheostomy tube. Which action should the nurse take first?

Correct Answer: C

Rationale: Reinserting the tube restores the airway, which is the immediate priority after dislodgement.

Question 2 of 5

The nurse is performing tuberculosis (TB) skin tests in a clinic that has many patients who have immigrated to the United States. Which question is most important for the nurse to ask before the skin test?

Correct Answer: D

Rationale: Prior BCG vaccination can cause false-positive TB skin tests, critical to interpret results accurately.

Question 3 of 5

A patient with chronic obstructive pulmonary disease (COPD) has a nursing diagnosis of imbalanced nutrition: less than body requirements. Which intervention would be most appropriate for the nurse to include in the plan of care?

Correct Answer: C

Rationale: High-calorie, high-protein snacks address malnutrition common in COPD due to increased energy expenditure.

Question 4 of 5

The nurse assesses a patient with a history of asthma. Which assessment finding indicates that the nurse should take immediate action?

Correct Answer: C

Rationale: Accessory muscle use signals severe respiratory distress, requiring urgent intervention.

Question 5 of 5

How should a patient perform spirometry?

Correct Answer: C

Rationale: For spirometry, the patient should inhale deeply and exhale as long, hard, and fast as possible. The other actions are not needed. The administration of inhaled bronchodilators should be avoided 6 hours before the procedure.

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