Practice Quiz

NCLEX-RN

Category - Reduction of Risk

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Warren is a 62-year-old client admitted for pneumonia. The physician ordered oxygen two L/min and nebulization of one amp sterile water. After nebulizing, the nurse performed postural drainage. During the procedure, the client begins to cough and complain of difficulty breathing. After stopping the procedure, the nurse does which of the following interventions next?
  1. Encourages the client to cough.
  2. Reports to the physician.
  3. Suctions.
  4. Administers oxygen.
Explanation
Answer: D - The initial action is to hook the client to the oxygen. Next, report this event to the physician. The client may be suffering from bronchospasm. Suctioning at this time is not urgent because of the narrowed airways. Administer bronchodilators first, then suction and encourage coughing after.
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