A nurse is collecting data on a client who was recently started on 3L of oxygen and now has oxygen toxicity. Which of the following findings should the nurse expect?

Metallic taste in mouth

Facial flushing

Periorbital edema

Muscle twitching

Answer and Explanation

The Correct Answer is D

A. Metallic taste in mouth:

This is not a typical sign of oxygen toxicity. A metallic taste may be associated with certain medications or exposure to metals.

B. Facial flushing:

Not a characteristic symptom of oxygen toxicity. Facial flushing is more commonly linked to fever or certain medication reactions.

C. Periorbital edema:

Swelling around the eyes may suggest fluid overload or renal issues, not oxygen toxicity.

D. Muscle twitching:

Oxygen toxicity can affect the central nervous system, leading to signs such as muscle twitching, seizures, and vision changes.

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Correct Answer is B

Explanation

A. “Your inspiration should be longer than expiration during purse-lipped breathing.”

Expiration should be longer than inspiration to promote carbon dioxide elimination and prevent air trapping.

B. “You should inhale through your nose and exhale through your mouth during purse-lipped breathing.”

This technique helps control breathing, keep airways open longer, and improve oxygenation.

C. “You should cough forcefully during exhalation when you are purse-lipped breathing.”

Purse-lipped breathing is a gentle technique and does not involve forceful coughing.

D. “You should be flat on your back when you perform purse-lipped breathing.”

An upright or semi-Fowler’s position promotes better lung expansion; lying flat can impair ventilation in COPD.

A. Explain alternatives to the procedure to the client B. Inform the client about what will occur during the procedure. C. Discuss the risks of the procedure with the cent D. Confirm that the client is competent to sign for the procedure

Correct Answer is D

Explanation

A. Explain alternatives to the procedure to the client:

This is the responsibility of the provider, not the nurse. The provider must explain the risks, benefits, and alternatives.

B. Inform the client about what will occur during the procedure:

This is also the provider’s duty. The provider is responsible for giving a thorough explanation of the procedure.

C. Discuss the risks of the procedure with the client:

Discussing risks is the provider’s responsibility during the informed consent process.

D. Confirm that the client is competent to sign for the procedure:

This is a nursing responsibility. The nurse must ensure that the client is mentally alert, understands what they are consenting to, and is signing voluntarily.

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A nurse is collecting data on a client who was recently started on 3L of oxygen and now has oxygen toxicity. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has COPD about purse-lipped breathing. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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