An infant is born with a Congenital Diaphragmatic Hernia, which of the following should be performed after birth:

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NCLEX Questions on Oxygen Therapy Questions

Question 1 of 5

An infant is born with a Congenital Diaphragmatic Hernia, which of the following should be performed after birth:

Correct Answer: B

Rationale: Intubation and positive pressure ventilation (PPV) stabilize breathing in congenital diaphragmatic hernia by preventing lung collapse.

Question 2 of 5

What prevents air from re-entering the pleural space when chest tubes are inserted?

Correct Answer: C

Rationale: A closed water-seal drainage system prevents air from re-entering the pleural space by maintaining a one-way flow.

Question 3 of 5

A nurse is teaching a newly licensed nurse about pulmonary function tests. The nurse should include which of the following is the vital capacity?

Correct Answer: B

Rationale: The correct answer is B because vital capacity is the maximum volume of air that can be expired after a maximum inspiration. It consists of inspiratory reserve volume, tidal volume, and expiratory reserve volume. Choice A is incorrect because it describes tidal volume. Choice C is incorrect because it refers to inspiratory reserve volume. Choice D is incorrect because it describes total lung capacity, which includes vital capacity plus residual volume.

Question 4 of 5

A nurse is caring for a patient who has poor tissue perfusion as the result of hypertension. When the patient asks what he should eat for breakfast, what should the nurse recommend?

Correct Answer: B

Rationale: The correct answer is B: A cup of nonfat yogurt with granola, and a handful of dried apricots. This choice is the best option because it provides a balance of nutrients that can support the patient's poor tissue perfusion due to hypertension. Nonfat yogurt is low in saturated fats, granola offers fiber and nutrients, and dried apricots provide potassium which is beneficial for managing blood pressure. Choice A is incorrect because whole milk and a banana can be high in saturated fats and sugars, which can be detrimental to someone with hypertension. Choice C is also not ideal as butter and cottage cheese can be high in saturated fats and sodium, which can worsen hypertension. Choice D is the least suitable option as sausage, cheese, and onions are high in saturated fats and sodium, which can negatively impact blood pressure levels.

Question 5 of 5

A nurse is caring for a client who has a history of asthma and is wheezing. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: The correct answer is A: Auscultate the lung sounds. This should be done first to assess the severity of wheezing and determine if the client's airway is compromised. It helps in making immediate decisions for appropriate interventions like administering bronchodilators or oxygen therapy. Documenting the respiratory rate (B) can be done after assessing lung sounds. Obtaining oxygen saturation (C) is important but not the first priority. Checking capillary refill (D) is not relevant in this situation and can be done later. Overall, assessing lung sounds is crucial in managing a client with asthma and wheezing.

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