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Exam NCLEX-RN topic 1 question 89 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 89
Topic #: 1
[All NCLEX-RN Questions]

The nurse assists a client with advanced emphysema to the bathroom. The client becomes extremely short of breath while returning to bed. The nurse should:

  • A. Increase his nasal O2 to 6 L/min
  • B. Place him in a lateral Sims’ position
  • C. Encourage pursed-lip breathing
  • D. Have him breathe into a paper bag
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Suggested Answer: C 🗳️
(A) Giving too high a concentration of O2 to a client with em-physema may remove his stimulus to breathe. (B) The client should sit forward with his hands on his knees or an overbed table and with shoulders elevated. (C) Pursed-lip breathing helps the client to blow off CO2 and to keep air passages open. (D) Covering the face of a client extremely short of breath may cause anxiety and further increase dyspnea.

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Pom_24
4 months ago
Answer C
upvoted 1 times
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