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Adult Health II Respiratory NCLEX Questions Questions

Extract:


Question 1 of 5

The nurse has reported to the hospital to work the evening shift on a respiratory unit. The nurse's assignment consists of four clients. Prioritize in order from highest to lowest priority how the nurse would assess the clients after receiving report.

Order the Items

Source Container

An 85-year-old client with bacterial pneumonia, temperature of 102.2°F (42°C), and shortness of breath.
A 60-year-old client with chest tubes who is 2 days postoperative following a thoracotomy for lung cancer and is requesting something for pain.
A 35-year-old client with suspected tuberculosis who is complaining of a cough.
A 56-year-old client with emphysema who has a scheduled dose of a bronchodilator due to be administered, with no report of acute respiratory distress.

Correct Answer: A,B,C,D

Rationale: The client with pneumonia, fever, and shortness of breath is at highest risk for respiratory compromise (
A). The postoperative client with pain (
B) is next due to pain's impact on breathing. The client with suspected tuberculosis and cough (
C) is lower priority but needs isolation precautions. The client with emphysema awaiting a scheduled bronchodilator (
D) is stable.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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Rationale:

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