The nurse is assessing a client with a chest tube. Which observation requires immediate action?

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NCLEX Oxygenation Practice Questions Questions

Question 1 of 5

The nurse is assessing a client with a chest tube. Which observation requires immediate action?

A. Drainage of 75 mL in the past hour. B. Absence of bubbling in the water seal chamber. C. Disconnection of the chest tube from the drainage system. D. Fluctuation in the water seal chamber with respiration.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The nurse is teaching a client with asthma about the proper use of a rescue inhaler. What should the client do immediately after using the inhaler?

A. Take a deep breath and hold it for 10 seconds. B. Exhale quickly to clear the lungs. C. Rinse their mouth with water. D. Take another puff immediately without waiting.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The nurse has completed the assessment for a client in the clinic with chronic asthma. What would be the priority goal the nurse should discuss with the client?

A. Maintaining a regular exercise routine. B. Complying with medication instructions. C. Recognizing triggers that cause asthma attacks. D. Understanding the physical limitations caused by this disease.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?

A. Using oral antihistamines for 2 weeks before the allergy season may prevent reactions. B. Identifying and avoiding environmental triggers are the best way to prevent symptoms. C. Frequent hand washing is the primary way to prevent spreading the condition to others. D. Corticosteroid nasal sprays will reduce inflammation, but systemic effects limit their use.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which action will the nurse include when caring for a patient with rib fractures?

A. Administer pain medication to promote deep breathing. B. Tape the ribs tightly to limit movement. C. Position the patient supine to reduce discomfort. D. Encourage the patient to avoid coughing to prevent pain.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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