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NCLEX

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A practice question

Choose an answer and it is marked, with the explanation. From NCLEX Practice Questions: 10 Clinical Judgment Items.

Question 11 mark

A client is 4 hours post-thyroidectomy. The client develops restlessness, noisy inspiration, and increasing neck swelling. The oxygen saturation is 91% on room air. Which action should the nurse take first?

The correct answer is to place the client in a high-Fowler position and apply oxygen. Noisy inspiration and neck swelling suggest airway compression, so immediate airway and breathing support comes before routine notification or analgesia. The strongest distractor is notifying the surgeon: escalation is necessary, but the nurse must begin emergency supportive care rather than wait.

A single-best-answer question on recognising an immediate airway emergency.
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