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?

Correct Answer: A

Rationale: The correct answer is A) Take a deep breath and hold it for 10 seconds. After using a rescue inhaler for asthma, it is important for the client to hold their breath for about 10 seconds to allow the medication to reach deep into the lungs for optimal effectiveness. This technique ensures that the medication is delivered to where it is needed most to help alleviate asthma symptoms quickly. Option B) Exhale quickly to clear the lungs is incorrect because exhaling quickly after using the inhaler can actually expel the medication before it has a chance to work effectively. This can lead to reduced therapeutic effects of the medication and may not provide the desired relief for the client's asthma symptoms. Option C) Rinse their mouth with water is incorrect as it is a recommended step after using corticosteroid inhalers, not rescue inhalers. Rescue inhalers typically contain bronchodilators and rinsing the mouth is not necessary after their use. Option D) Take another puff immediately without waiting is incorrect because it is essential to follow the prescribed dosing instructions for the rescue inhaler. Taking another puff immediately without waiting can lead to an overdose of medication and may cause adverse effects on the client's health. Educationally, understanding the proper technique for using a rescue inhaler is crucial for clients with asthma to effectively manage their condition. Teaching clients the correct steps ensures they receive the maximum benefit from their medication and can better control their asthma symptoms. It is important for healthcare providers to provide clear and accurate instructions to clients to promote proper self-management of their asthma.

Correct Answer: B

Rationale: In this NCLEX Oxygenation practice question, the correct answer is B) Identifying and avoiding environmental triggers are the best way to prevent symptoms of allergic rhinitis. This answer is correct because allergic rhinitis is primarily triggered by environmental allergens such as pollen, dust mites, pet dander, etc. By identifying and avoiding these triggers, the patient can significantly reduce the frequency and severity of their symptoms. Option A is incorrect because while oral antihistamines can help manage symptoms, using them preventively for 2 weeks before the allergy season may not be the most effective approach for all patients. Option C is incorrect because while hand washing is important for preventing the spread of infections, it is not a primary strategy for managing allergic rhinitis, which is an immune response to allergens rather than a contagious condition. Option D is incorrect because while corticosteroid nasal sprays can reduce inflammation in the nasal passages, the systemic effects associated with their use may limit their long-term use due to potential side effects. In an educational context, teaching patients about environmental triggers and how to avoid them is crucial in managing allergic rhinitis effectively. It empowers patients to take control of their condition and reduce their reliance on medications, leading to better overall outcomes and quality of life.

Correct Answer: A

Rationale: The correct answer is A) Administer pain medication to promote deep breathing. When caring for a patient with rib fractures, it is essential to manage pain effectively to encourage the patient to take deep breaths. Pain medication helps alleviate discomfort, allowing the patient to breathe deeply, which is crucial in preventing respiratory complications like pneumonia. Option B) Tape the ribs tightly to limit movement is incorrect because this can restrict chest expansion, impairing ventilation, and potentially leading to respiratory issues. Option C) Position the patient supine to reduce discomfort is incorrect as lying flat can exacerbate pain and compromise respiratory effort. Elevating the head of the bed or positioning the patient in a semi-Fowler's position is more appropriate. Option D) Encourage the patient to avoid coughing to prevent pain is incorrect. While coughing may cause pain, it is crucial for clearing secretions and preventing respiratory complications. Encouraging controlled coughing techniques along with pain management is essential for optimal recovery. In an educational context, understanding the rationale behind the correct answer emphasizes the importance of pain management in promoting effective breathing and preventing respiratory complications in patients with rib fractures. It underscores the nursing principle of prioritizing pain relief to optimize patient outcomes and highlights the holistic approach to patient care that considers both pain management and respiratory function in this scenario.

Correct Answer: B

Rationale: In this NCLEX Oxygenation practice question, the correct answer is option B) "I should sleep on my back to keep my airway open." This statement indicates a need for further teaching because in obstructive sleep apnea, sleeping on the back can actually worsen the condition by causing the tongue and soft tissues of the throat to collapse, further obstructing the airway. Option A) "I will use my CPAP machine every night" is correct as consistent use of a CPAP machine is a standard treatment for obstructive sleep apnea to maintain open airways during sleep. Option C) "I will avoid alcohol before bedtime" is also correct as alcohol can relax the muscles in the throat, leading to increased airway obstruction in individuals with sleep apnea. Option D) "Losing weight may help reduce my symptoms" is also a valid statement as excess weight can contribute to the severity of obstructive sleep apnea, and weight loss can help improve symptoms. Educationally, this question highlights the importance of patient education in managing obstructive sleep apnea. It emphasizes the significance of proper sleep positions, consistent CPAP machine use, lifestyle modifications like avoiding alcohol, and the potential benefits of weight loss in alleviating symptoms. Understanding these concepts is crucial for nurses to provide comprehensive care and education to patients with obstructive sleep apnea.

Correct Answer: B

Rationale: **Educational Rationale:** The correct answer is B) Oxygen saturation dropping to 85% because a significant drop in oxygen saturation level indicates a critical issue with oxygenation. Oxygen saturation below 90% is considered hypoxic and requires immediate intervention to prevent tissue damage and potential organ failure. Option A) Mild headache and dry nasal passages are common side effects of oxygen therapy and do not require immediate intervention unless they worsen significantly. Option C) Respiratory rate of 20 breaths per minute is within the normal range and does not indicate an urgent issue with oxygenation. Option D) Slight confusion after beginning oxygen therapy may be a side effect of oxygen therapy or an underlying condition but does not constitute an immediate threat to the patient's well-being. In an educational context, it is crucial for healthcare professionals to recognize signs of inadequate oxygenation promptly to provide timely interventions. Monitoring oxygen saturation levels is a key component of oxygen therapy management, and any significant decrease in saturation levels should trigger immediate assessment and intervention to ensure patient safety and optimal outcomes.