The nurse has just auscultated coarse crackles bilaterally on a patient with a tracheostomy tube in place. If the patient is unsuccessful in coughing up secretions, what action should the nurse take?

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Oxygen NCLEX Questions Questions

Question 1 of 5

The nurse has just auscultated coarse crackles bilaterally on a patient with a tracheostomy tube in place. If the patient is unsuccessful in coughing up secretions, what action should the nurse take?

Correct Answer: C

Rationale: Coarse crackles indicate secretions; sterile suctioning is required to clear the airway effectively.

Question 2 of 5

A patient with a pleural effusion is scheduled for a thoracentesis. Which action should the nurse take to prepare the patient for the procedure?

Correct Answer: B

Rationale: Sitting upright facilitates access to the pleural space and reduces risk during thoracentesis.

Question 3 of 5

The nurse teaches a patient how to administer formoterol (Perforomist) through a nebulizer. Which action by the patient indicates good understanding of the teaching?

Correct Answer: B

Rationale: Coughing after nebulization clears airways, ensuring medication reaches deeper lung areas; spacers are not used with nebulizers.

Question 4 of 5

A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?

Correct Answer: D

Rationale: Chest physiotherapy helps clear mucus in CF, addressing dyspnea; diagnosis is already confirmed.

Question 5 of 5

Which factors will the nurse consider when calculating the CURB-65 score for a patient with pneumonia (select one that doesn't apply)?

Correct Answer: D

Rationale: CURB-65 includes Confusion, Urea (BUN), Respiratory rate, Blood pressure, and age ≥65.

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