Weekly NCLEX/HESI Question for October 6


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October 6

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Patient presents with right sided rib pain after a fall. He complains of constant pain that is worse with deep inspiration. The CXR reveals a 5th right rib fracture. He is on 24 hour oxygen therapy and a history of asthma and chronic bronchitis. The physican orders pain medication. As a nursing measure you perform the following:
Provide the patient with an incentive spirometer and teach him to perform incentive spirometry every hour while awake.
Nothing further is needed.
Instruct the patient to take his pain medication only at night so that he can sleep.
Instruct the patient to move as little as possible to decrease pain.
Question 1 Explanation: 
The correct answer is A. The patient has comprised lung function causing increased risk for respiratory complications. The rib fracture pain will cause the patient to take more shallow breaths. Incentive spirometry will cause the patient to take deep breaths to prevent respiratory complications such as pneumonia.
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