NCLEX Questions Respiratory | Nurselytic

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NCLEX Questions Respiratory Questions

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Question 1 of 5

Before discharging a client with fractured ribs from the emergency department, which instruction is most important for the nurse to give the client?

Correct Answer: B

Rationale: Taking deep breaths periodically prevents atelectasis and pneumonia, which are risks with fractured ribs due to shallow breathing.

Question 2 of 5

The nurse is discussing the care of a child diagnosed with asthma with the parent. Which referral is important to include in the teaching?

Correct Answer: B

Rationale: Allergy testing (
B) identifies asthma triggers, critical for management. Dietitian (
A), psychologist (
C), and home health (
D) are secondary unless specific issues arise.

Question 3 of 5

Which client problems are appropriate for the nurse to include in the plan of care for the client diagnosed with COPD? Select all that apply.

Correct Answer: A,C,D,E

Rationale: COPD causes impaired gas exchange (
A), activity intolerance (
C), role changes (
D), and nutritional issues (E) from energy demands. Temperature intolerance (
B) is not primary.

Question 4 of 5

The ABG analysis results reveal that the client's partial pressure of arterial carbon dioxide (PaCO2) is 65 mm Hg. The nurse recognizes that this is abnormal because normal PaCO2 levels fall between which values?

Correct Answer: C

Rationale: Normal PaCO2 levels are 35 to 45 mm Hg; a value of 65 mm Hg indicates hypercapnia, common in COPD.

Question 5 of 5

An alarm beeps notifying you that one of your patient's oxygen saturation is reading $89 \%$. You arrive to the patient's room, and see the patient comfortably resting in bed watching television. The patient is already on $2 \mathrm{~L}$ of oxygen via nasal cannula. The patient is admitted for COPD exacerbation. Your next nursing action would be:

Correct Answer: A

Rationale: In COPD, oxygen saturation of 88-92% is acceptable to avoid suppressing the hypoxic drive. Since the patient is comfortable, continue monitoring . Increasing oxygen or notifying the doctor is unnecessary unless symptoms worsen.

Similar Questions

A 52-year old female patient is receiving medical treatment for a possible tuberculosis infection. The patient is a U.S. resident but grew up in a foreign country. She reports that as a child she received the BCG vaccine (bacille Calmette-Guerin vaccine). Which physician's order below would require the nurse to ask the doctor for an order clarification?
A 72 year-old male patient who is diagnosed with bilateral lower lobe pneumonia is admitted to your unit. The patient has a history of systolic heart failure and arthritis. On assessment, you note the patient has a respiratory rate of 21 , oxygen saturation $93 \%$ on $2 \mathrm{~L}$ nasal cannula, is alert & oriented, and has a productive cough with green/yellowish sputum. Which of the following nursing interventions will you provide to this patient based on your assessment findings and the patient's diagnosis? Select-all-that-apply:
The unlicensed assistive personnel (UAP) assists the client with a chest tube to ambulate to the bathroom. Which situation warrants immediate intervention from the nurse?
A patient receiving medical treatment for an active tuberculosis infection asks when she can starting going out in public again. You respond that she is no longer contagious when:
The nurse is preparing to administer warfarin (Coumadin), an oral anticoagulant, to a client diagnosed with a pulmonary embolus. Which data would cause the nurse to question administering the medication?

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