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 C

Explanation

A. Dysphagia: Difficulty swallowing is not directly associated with hypoxia.
B. Nausea: Nausea is not a typical manifestation of hypoxia.
C. Agitation: Hypoxia causes restlessness and agitation as early signs due to decreased oxygen delivery to the brain.
D. Warm, dry skin: Hypoxia typically leads to cool, clammy skin rather than warmth.

A. "Repeat your breathing exercise every 2 hrs." B. "Inhale through your mouth." C. "Hold your breath for 5 seconds." D. "Exhale through your nose."

Correct Answer is C

Explanation

A) "Repeat your breathing exercise every 2 hrs." Repeating breathing exercises should be done a couple of times every hour to help prevent postoperative complications such as atelectasis and pneumonia.
B) "Inhale through your mouth." Clients should inhale through their nose to filter, warm, and humidify the air.
C) "Hold your breath for 5 seconds." Holding the breath for 5 seconds allows for better lung expansion and optimal oxygen exchange.
D) "Exhale through your nose." Clients are generally advised to exhale through pursed lips to create positive airway pressure and prevent airway collapse.

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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

A nurse is reinforcing teaching with a newly licensed nurse about the manifestations of hypoxia. Which of the following findings should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

What is the most common cause of airway obstruction in the unconscious person?

A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?

Which is a function of the respiratory system?

The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the Heimlich maneuver, the fist should be positioned:

The nurse caring for a patient with a disposable chest drainage system can promote effective tube function and patient safety by:

A patient requires a precise concentration of 40% oxygen. Which of the following devices would best allow for this?

A nurse is preparing to suction the airway of a client who has a tracheostomy. Identify the sequence of actions the nurse should take after performing hand hygiene. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should: