NCLEX-RN Question #63: Real Exam Question with Answer & Explanation

The correct answer is C. Encourage pursed-lip breathing. (A) Giving too high a concentration of O2 to a client with em-physema may remove his stimulus to (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 ai

Question

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:

Options

AIncrease his nasal O2 to 6 L/min
BPlace him in a lateral Sims' position
CEncourage pursed-lip breathing
DHave him breathe into a paper bag

Explanation

(A) Giving too high a concentration of O2 to a client with em-physema may remove his stimulus to (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

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