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NCLEX-RN · Question #63

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:

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…

Physiological Integrity: Physiological Adaptation

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

How the community answered

(43 responses)
  • A
    5% (2)
  • B
    16% (7)
  • C
    72% (31)
  • D
    7% (3)

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

Topics

#pursed-lip breathing#dyspnea management#emphysema#oxygen therapy

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