Your patient is breathing shallowly and seems irritable and restless. A nursing action that might help is to have him:

take a good nap

turn, cough and deep breathe

submit to a back rub

take some pain medication

Answer and Explanation

The Correct Answer is C

A. Take a good nap: While rest is important, shallow breathing and irritability may indicate inadequate ventilation, which won't improve solely with sleep.
B. Turn, cough, and deep breathe: This helps open the airways, promotes alveolar expansion, and clears secretions, which may improve oxygenation and reduce restlessness.
C. Submit to a back rub: Although comforting, it does not directly address shallow breathing or improve oxygenation.
D. Take some pain medication: Pain control can be essential, but this action is premature without assessing whether pain is the cause of shallow breathing.

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Correct Answer is B

Explanation

A) Sternum. Percussion over the sternum is ineffective and may cause discomfort.
B) Thorax. Percussion on the thorax helps loosen mucus in the underlying lung fields.
C) Midaxillary line on the rib cage. This area is not typically targeted for percussion.
D) Spine between the scapulae. Percussion on the spine is not advisable due to the potential for discomfort and ineffectiveness. The area between the scapulae is also less effective for loosening mucus compared to the thorax.

A. "It delivers a specific concentration of oxygen constantly." B. "It allows you to remove it for a while when it gets uncomfortable." C. "It delivers the highest concentration of oxygen possible." D. "It delivers the low concentration of oxygen you need."

Correct Answer is D

Explanation

A) "It delivers a specific concentration of oxygen constantly." A nasal cannula does not provide a constant or precise concentration of oxygen, as it is influenced by the client's breathing pattern.
B) "It allows you to remove it for a while when it gets uncomfortable." Removing the nasal cannula intermittently may disrupt oxygen therapy and decrease oxygen saturation.
C) "It delivers the highest concentration of oxygen possible." A nasal cannula delivers low-flow oxygen and does not provide the highest possible oxygen concentration.
D) "It delivers the low concentration of oxygen you need." A nasal cannula is designed for clients who need a low concentration of oxygen, typically between 1 to 6 liters per minute.

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Your patient is breathing shallowly and seems irritable and restless. A nursing action that might help is to have him:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse loosens mucus plugs by using percussion on a patient over the area of the:

Correct Answer is B

Explanation

A client is receiving oxygen therapy via a nasal cannula. When the client asks the nurse why he needs to have oxygen tubing in his nose, which of the following explanations about the cannula should the nurse give him?

Correct Answer is D

Explanation

The nurse performing tracheostomy care will:

A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?

A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:

Older adults are more prone to respiratory problems because aging causes which change?

The nurse takes into consideration that a pulse oximeter may not give an accurate reading if the patient is:

A patient who will begin oxygen therapy has a history of sinus disorders. This patient would benefit most from which oxygen setup?

Which of the following is not considered an adventitious lung sound upon auscultation:

A nurse caring for a patient with a water seal type chest drainage that is on low suction assesses that there is constant bubbling in the suction container. The nurse should: