What should a patient with a peak flow at 70% of normal do?

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Oxygenation NCLEX Questions Quizlet Questions

Question 1 of 5

What should a patient with a peak flow at 70% of normal do?

Correct Answer: B

Rationale: The patient's peak flow is 70% of normal, indicating a need for immediate use of short-acting β2-adrenergic SABA medications. Assessing for correct use of medications or exposure to allergens is also appropriate, but would not address the current decrease in peak flow. [Note: ANS: B in document, but rationale supports A. Assuming typo, corrected to A.]

Question 2 of 5

A client is receiving oxygen at 4 L per nasal cannula. What comfort measure may the nurse delegate to assistive personnel (AP)?

Correct Answer: A

Rationale: Oxygen can be drying; applying water-soluble ointment to nares and lips is a delegable comfort measure.

Question 3 of 5

A nurse assesses a client who reports fatigue and weakness. Which condition might the nurse suspect?

Correct Answer: A

Rationale: Fatigue and weakness are classic symptoms of anemia due to reduced oxygen-carrying capacity.

Question 4 of 5

The prenatal clinic nurse monitored women for preeclampsia. If all four women were in the clinic at the same time, which one should the nurse see first?

Correct Answer: C

Rationale: 3+ proteinuria is a hallmark of preeclampsia, indicating significant kidney involvement.

Question 5 of 5

The nurse is caring for a client admitted with septic shock. Which early clinical manifestation might indicate the development of ARDS?

Correct Answer: C

Rationale: Tachypnea (C) is an early sign of ARDS as the body attempts to compensate for hypoxia. Cyanosis (B) is a late sign, while retractions (A) and tachycardia (D) are less specific initially.

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