NCLEX Practice Test

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Which intervention would cause the charge nurse to intervene for a terminally ill client reporting dyspnea?

  1. Administering oxygen via a nonrebreather mask

  2. Administering prescribed morphine PRN

  3. Providing a portable fan to improve air flow in the room

  4. Providing relaxation strategies such as music and guided imagery

The correct answer is: Administering oxygen via a nonrebreather mask

In the context of a terminally ill client reporting dyspnea, administering oxygen via a nonrebreather mask would be the intervention that would prompt the charge nurse to intervene. While oxygen is commonly used to relieve dyspnea in various situations, providing high-flow oxygen to a terminally ill client with advanced respiratory failure can lead to adverse effects such as reducing the drive to breathe and potentially hastening respiratory failure. Therefore, it is crucial to monitor oxygen administration carefully in this population. The other options may be appropriate interventions for a terminally ill client experiencing dyspnea. Administering prescribed morphine PRN can help alleviate anxiety and dyspnea. Providing a portable fan to improve air flow in the room can enhance comfort. Offering relaxation strategies such as music and guided imagery can help the client relax and manage distress.

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