The charge nurse is observing a newly licensed nurse conduct an admission assessment on a client with asthma. Which action by the newly licensed nurse requires immediate intervention?

Correct Answer: B

Rationale: In this scenario, option B requires immediate intervention because the newly licensed nurse is observed continuing to ask the client questions while the client is showing signs of respiratory distress. This delays necessary care and assessment of the client's breathing status, potentially putting the client at risk for further complications or deterioration. Option A, obtaining a pulse oximetry reading after the client used an albuterol inhaler, is not an immediate concern as it is important to assess the client's oxygen saturation levels to monitor response to treatment. Option C, assessing the client's thoracic wall, skin, and nail beds, is an appropriate action to evaluate respiratory status and oxygenation. Option D, auscultating breath sounds with a stethoscope, is also a vital component of assessing a client with asthma to determine if there are any abnormalities in lung sounds. Educationally, this scenario highlights the importance of prioritizing actions during assessments, especially in clients with respiratory conditions like asthma where prompt intervention is crucial. It underscores the significance of recognizing signs of distress and acting promptly to ensure client safety and well-being.

Correct Answer: B

Rationale: In the context of a pregnant client with cystic fibrosis, it is crucial for the nurse to provide accurate education regarding potential risks. The correct answer, gestational diabetes (B), is directly related to cystic fibrosis. Cystic fibrosis can lead to pancreatic dysfunction, impairing the regulation of glucose levels during pregnancy, thereby increasing the risk of gestational diabetes. Option A, emergency delivery, is not directly associated with cystic fibrosis. While pregnancy in women with cystic fibrosis may necessitate careful monitoring and management, emergency delivery is not a typical risk solely due to cystic fibrosis. Option C, placenta previa, is not inherently linked to cystic fibrosis. Placenta previa is more commonly associated with factors such as previous uterine surgeries, advanced maternal age, or multiparity. Option D, spontaneous abortion, is not a direct consequence of cystic fibrosis in pregnancy. While pregnancy in women with cystic fibrosis may pose challenges due to the mother's health status, spontaneous abortion is not a known increased risk solely due to cystic fibrosis. Educationally, understanding the specific risks associated with medical conditions during pregnancy is crucial for nurses to provide tailored care and education to pregnant clients. This rationale helps nurses comprehend the relationship between cystic fibrosis and gestational diabetes, enabling them to offer accurate information and support to pregnant clients with this condition.

Correct Answer: A

Rationale: Rationale: The correct answer is A) It impairs arousal response. Brainstem abnormalities can affect the infant's ability to wake up in response to low oxygen levels or increased carbon dioxide levels, which are common occurrences when an infant is placed on his stomach to sleep. This impaired arousal response can prevent the infant from instinctively repositioning himself to improve breathing and oxygen flow, thereby increasing the risk of Sudden Infant Death Syndrome (SIDS). Option B) It increases heart rate, is incorrect because an increased heart rate alone does not directly contribute to the risk of SIDS in this scenario. Option C) It reduces lung capacity, is incorrect because a brainstem abnormality does not necessarily lead to a reduction in lung capacity. Option D) It causes overheating, is incorrect because overheating is not specifically linked to brainstem abnormalities and their impact on SIDS risk. Educationally, it is crucial for healthcare professionals and caregivers to understand the physiological implications of brainstem abnormalities in relation to SIDS risk. By recognizing the role of impaired arousal response in this context, they can take proactive measures to promote safe sleep practices and reduce the likelihood of SIDS occurrences. This knowledge empowers individuals to create a safe sleeping environment for infants, ultimately saving lives and promoting infant health and well-being.

Correct Answer: A

Rationale: In the context of NCLEX questions on oxygenation and perfusion, understanding photosynthesis is crucial as it directly relates to the production of oxygen and maintenance of atmospheric oxygen levels. The correct answer, option A, accurately describes photosynthesis as the process by which plants use water, sunlight, and carbon dioxide to produce oxygen and energy in the form of sugar (glucose). This process is essential for life on Earth as it is the primary source of oxygen in the atmosphere, which is vital for human and animal respiration. Option B, stating that photosynthesis consumes oxygen, is incorrect. In reality, photosynthesis is the process that releases oxygen as a byproduct. Option C, claiming that photosynthesis is a cycle without oxygen, is also inaccurate as oxygen is a key product of the photosynthetic process. Educationally, understanding the process of photosynthesis is fundamental for healthcare professionals as it underpins the oxygenation and perfusion processes in the human body. By comprehending how plants produce oxygen through photosynthesis, healthcare providers can appreciate the interconnectedness of oxygen production in nature and its importance for sustaining life. This knowledge is particularly valuable in fields such as nursing, where a solid understanding of oxygenation and perfusion is critical for providing effective patient care.

Correct Answer: D

Rationale: When a chest tube becomes separated from the drainage device, the nurse should submerge the end in water, creating a water seal, but allowing air to escape, until a new drainage unit can be attached. This is done instead of clamping to prevent another pneumothorax. Then the nurse should assess vital signs and notify the health care provider.