Which intervention should the nurse prioritize to promote effective airway clearance in a client with impaired oxygenation?
Providing incentive spirometry exercises
Administering bronchodilator medications
Encouraging deep breathing and coughing
Positioning the client in high Fowler's position
The Correct Answer is C
Answer: c. Encouraging deep breathing and coughing Explanation:
Deep breathing and coughing help to mobilize and clear respiratory secretions, promoting effective airway clearance and improved oxygenation.
Incorrect choices:
a. Incentive spirometry exercises help promote lung expansion but are not directly aimed at airway clearance.
b. Bronchodilator medications are primarily used to alleviate bronchospasm and improve airflow, but they may not directly address airway clearance.
d. Positioning the client in high Fowler's position facilitates lung expansion and may improve oxygenation but does not directly address airway clearance.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer: b. Monitoring oxygen saturation levels Explanation:
Monitoring the client's oxygen saturation levels using a pulse oximeter is crucial to assess the effectiveness of oxygen therapy and ensure the client's oxygen needs are being met adequately.
Incorrect choices:
a. Assessing the client's respiratory rate is important but does not directly measure the adequacy of oxygen therapy.
c. Evaluating the client's level of dyspnea provides subjective information but does not quantify the client's oxygenation status.
d. Adjusting the oxygen flow rate as needed is a valid action, but monitoring oxygen saturation levels is essential to guide the adjustment accurately.
Correct Answer is B
Explanation
Answer: b. Monitoring the client's carbon dioxide levels
Explanation: Clients with COPD have a chronic retention of carbon dioxide, so monitoring carbon dioxide levels is essential to prevent the development of respiratory acidosis while providing long-term oxygen therapy.
Incorrect choices:
a. Assessing for signs of oxygen toxicity is important but is not specific to clients with COPD.
c. Proper humidification of oxygen is beneficial but does not take precedence over monitoring carbon dioxide levels in clients with COPD.
d.Ensuring an adequate supply of oxygen is a general consideration for all clients receiving oxygen therapy and is not specific to clients with COPD.
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