The nurse assesses the chest of a patient with pneumococcal pneumonia. Which finding would the nurse expect?

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Oxygenation NCLEX Questions Questions

Question 1 of 5

The nurse assesses the chest of a patient with pneumococcal pneumonia. Which finding would the nurse expect?

Correct Answer: A

Rationale: Pneumococcal pneumonia causes consolidation, increasing tactile fremitus due to enhanced vibration transmission through solid lung tissue.

Question 2 of 5

After change-of-shift report, which patient should the nurse assess first?

Correct Answer: D

Rationale: Tracheal deviation suggests tension pneumothorax, a life-threatening emergency requiring immediate assessment.

Question 3 of 5

A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would support the patient's ventilation?

Correct Answer: B

Rationale: Leaning forward opens the chest, improving ventilation in COPD patients with air trapping.

Question 4 of 5

The clinic nurse is teaching a patient with acute sinusitis. Which interventions should the nurse plan to include in the teaching session (select one that doesn't apply)?

Correct Answer: B

Rationale: Decongestants, showers, saline spray, and upright positioning aid sinus drainage and comfort; blowing the nose is acceptable unless epistaxis is present.

Question 5 of 5

What indicates respiratory distress in a patient with COPD?

Correct Answer: A

Rationale: The increase in respiratory rate indicates respiratory distress and a need for rapid interventions such as administration of O2 or medications. The other findings are common chronic changes occurring in patients with COPD.

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