Shadowing Practice: Live NCLEX® Respiratory Question Drill - Vertical - Learn English Speaking with Video

Thank you.

Hello and good morning future nurses.

Welcome back to UWorld's Next Gen NCLEX review.

I'm Nurse Jasmine and today's topic is respiratory question drill.

So if you haven't joined us before this is what you can expect.

We're going to read the question together

and then you'll have 30 seconds to drop your answers in the comments

and don't be shy this is the best time to practice.

Remember this is just for your own learning this is not for a grade or punishment or anything.

And then we're going to review the rationales and then reminders.

Just share this session.

You know, the more the merrier.

Share it with all your nursing buddies.

Again, don't be shy to leave your comments or questions in the chat.

We have Nurse and Coley moderating our chat.

So if you have any questions, don't feel, don't be hesitant to ask.

And then again, follow us so you don't miss any content.

So starting with our question one, the nurse is assessing a client who has bacterial pneumonia,

which of the following findings would be a priority to follow up.

Then we have headache and fever, sore throat and nasal congestion, use of accessory muscles, and then we have purulent futum.

So what is concerning here?

What pushes you to check on this patient?

And then I see also we have our chat going on.

Again, don't be shy, don't be scared to put your answers.

You know, this is where we learn.

Sometimes we learn more from our mistakes.

Again, this is going to be a respiratory question drill.

Don't forget to like, share.

We have a goal on TikTok to reach 150,000 followers, and we're pretty close.

So if you guys don't mind helping us reach that goal, and let me know where everybody is joining us from.

Let us know.

Today we have a sunny day.

It's been raining here in Dallas, but today is hot.

All right.

So the correct answer for this one is going to be option number three, which a lot of you guys put.

So great job.

The use of accessory muscles is going to be a priority to follow up.

So bacterial pneumonia is an inflammatory reaction in the lungs.

So it's usually caused by an infection.

So this is going to result in the production of cellular debris and purulent secretions.

It also obstructs the alveoli and impairs gas exchange.

So when we see the use of accessory muscles, this means that the client is breathing with more than just their diaphragm.

So it's going to alert us that the client needs oxygen and we're going to focus on airway, breathing, and circulations.

And then we have the other options, one, two, and four.

These are all expected findings with bacterial pneumonia.

The one that we're going to be concerned about is the use of accessory muscles, which tells us that the client is working harder to breathe.

So we're going to assess this client first.

Great job.

All right, question number two.

The nurse is planning care for a client with chronic obstructive pulmonary disease or COPD.

Which of the following interventions should the nurse include in the client's plan of care?

And here we have a select all that apply.

So remember, we're going to have multiple correct answers.

And then we have option one, recommend that the client sleep in the supine position.

Option two, tell the client to eat two to three large meals each day.

Option three, encourage the client to receive the influenza vaccine annually.

Option four, demonstrate the cuff technique for the client.

And then we have option five, instruct the client to limit physical activity.

Let me know.

Let me see where you guys are all joining us from.

We got Portland, Oregon.

We got Maryland.

We got Pittsburgh.

We got Germany and India.

Hello.

We got Turkey, Nigeria, Manchester, Ghana.

How exciting.

We have Kansas City.

How crazy.

How cool, guys.

Thank you for joining us this morning.

And then another question that I'd like to ask you guys, has anybody passed their NCLEX recently or is anybody getting ready to test?

This is where we want to send you all the good luck or celebrate with you.

All right, we got more peeps.

We got South Africa, we got Mexico, we got Seattle, Australia, Arizona, DC.

Hello, hello, welcome.

Emily on TikTok has a year left, but it's going to be amazing, you know, take advantage of this year.

This is your last chance to be a student then you'll

enter the nursing world we have kenya virginia oh my gosh we got a two days

and then clicks in two days so we're gonna send prayers for sure someone's testing on the 23rd

nice oh we got people from republica dominicana welcome welcome 86

and yes you're going to pass

so we're sending you all the good vibes okay good job guys

so the correct answers for this ones are going to be three and four.

So we have the interventions that we should include in the client's plan of care.

So to start, what is COPD, right?

This is going to be a progressive and irreversible lower respiratory condition characterized by chronic inflammation.

We have airway remodeling, and then we also have reduced expiratory airflow.

So option three, we want to encourage the client to receive their flu vaccine because they're going to be immunocompromised, right?

They're at risk for significant complications.

If they do get the disease, if they contact the virus, they're going to be at higher risk for complications.

So we're going to encourage them to receive their vaccine annually.

And then option four, demonstrate the cough cough.

This is also true.

So clients with COPD, they develop ineffective coughing patterns due to that weakened muscles or their airway remodeling.

Remember, the airway is changing.

And this is prone to collapse under pressure.

So to help this, we're going to teach our clients how to huff-cuff through clear secutions.

100

So huff-cuff is composed of low-pressure coughs to loosen and help clear out those secretions.

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So to do this, the client should sit upright, inhale deeply, and perform a forceful exhalation that makes a huff sound.

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So that's going to help them clear their secretions.

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And then the incorrect answers are 1, 2, and 5.

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So instead of a supine position, we're going to recommend a semi-fowler position to help test expansion.

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And the client will breathe easier rather than laying on their belly, which is the supine position.

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And then we have option 2, large meals take a lot of energy.

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You know, if you're short of breath and you're trying to eat a large meal, that's hard.

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So imagine a client with COPD.

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It's the same thing, you know.

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So we're going to recommend smaller protein or smaller meals or increased protein snacks.

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We want them to still take care of their nutrition.

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We don't want their shortness of breath to interfere with their condition, with their nutrition.

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And then we have option five, instruct the client to limit physical activity.

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This is incorrect.

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We want them to move to prevent pneumonia infection.

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So great job, guys, on that one.

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And then we have question number three the nurse has attended a staff education program about cystic fibrosis.

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Which are the following should the nurse recognize as a complication of cystic fibrosis?

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And again, select all that apply.

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So we have one, malnutrition, osteoporosis, uterine fibroids, diabetes mellitus, and portal hypertension.

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So which of these are complications?

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let's see okay looking at your comments someone's about to schedule that's exciting

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and we have more peeps joining us we have miami miami brazil canada nice welcome guys welcome

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okay and i like that you guys are dropping your answers great job okay so the correct answers

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i'm going to give you just a couple more to select select

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that apply uh in the meantime i'm going to tell you guys

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so you can find at uworldnursing.com

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so you can see our live schedule we go live several

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times a week uh tuesdays wednesdays thursdays fridays we have nurse Andrew, Nurse Nkoly, Nurse Samantha, myself.

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So if you guys want to prepare and see what topics we're talking about ahead of time, go ahead and check out UWorldNursing.com.

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And then my favorite part about UWorldNursing.com is the free trial so you can try 50 questions with rationales, which is what makes UWorld special.

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And we have a NCLEX study schedule.

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So we have examples from like one month to six months.

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So if you guys are completely like, oh my gosh, where do I start?

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Go ahead and visit UWorldNursing.com.

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All right, guys, so this one is going to be all of them except option three.

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So these are complications of cystic fibrosis.

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So what is cystic fibrosis?

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This is a genetic condition that causes thickening of the mucoid secretions, and this is due to impaired chloride and sodium channel regulation.

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So this leads to exocrine gland dysfunction, obstruction of the digestive, reproductive,

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and respiratory tracts, which can give us a lot of the information that we need for the complications.

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So complications are going to include malnutrition due to malabsorption of nutrients in the GI tract.

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So that's our option one.

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Option two, osteoporosis.

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This is a complication related to the malabsorption in clients with cystic fibrosis.

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Think about the vitamins A, D, E, and K, inflammation and infection, medications, reduced physical activity.

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So this is also a complication.

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And then we have option four, diabetes mellitus, which is also a complication.

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Pancreatic injury from the thick mucus secretions can lead to insufficient insulin production.

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So that's another one.

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And then we have option five, portal hypertension.

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So it can lead to liver disease.

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Cystic fibrosis can lead to liver disease or cirrhosis, which is the hardening of the liver.

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So that hardening is going to cause pressure to increase in that portal vein, which can cause portal hypertension.

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So the only incorrect one is uterine fibroids.

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So specific fibrosis can cause infertility due to those thick cervical mucus and nutrition deficiencies.

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So that's infertility, not uterine fibroids.

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So great job on that one, everybody.

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That was a little bit of a long one.

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Our next question, the nurse is checking a client who has a chest tube attached to a closed chest drainage system.

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Which of the following findings would be a priority for the nurse to follow up?

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And then we have our options.

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One, serosanguinous drainage in the collection chamber.

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Option two, crepitus around the insertion site.

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Tiling in the water seal chamber.

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And then we have collection chamber attached to the head of the client's bed.

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Let me see.

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Let me look at your answers, guys.

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Someone's scheduling their test later today.

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That's exciting.

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Yep, you guys answered.

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Sisyphagbrosid affects the sodium chloride pump.

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Great job.

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Yeah, good job, good job.

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You passed the NCLEX on Instagram.

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Good job.

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Congratulations.

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You guys, your comments come so fast.

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I got to read faster.

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And yes, we have NCOLI on our chat.

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Expected versus complication.

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Yes, great job.

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Thank you.

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All right, so the answer for this one is going to be option four.

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It's going to be a priority for us to follow up

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if we see the collection chamber attached to the head of the bed.

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So the chest tube, this is a closed system,

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and it can be used to generate the negative pressure to re-expand a collapsed lung or it also helps drain pleural fluid.

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So we do not want the collection chamber above the lungs because we need it to drain dependent drainage.

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We want to use gravity in our favor to help drain the contents into the collection chamber.

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So the other answers are incorrect.

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This option one is an expected finding.

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We're going to assess for the color, the amount and consistency, but a zero sanguinous drainage is expected.

194

And then we have option two, crepitus.

195

The crepitus can be expected around the site and only a little bit.

196

However, we do want to keep a close eye if the crepitus is increasing, if the area is larger, or if extending to the neck.

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So we're going to immediately assess that one.

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And then we have option three, titling and the wider seal.

199

This means it's working correctly.

200

That is exactly what we want to see.

201

So great job on that one.

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That one can be a little tricky if you don't know much about the chest tubes, but you guys did amazing on that one.

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All right.

204

And I'm going to take this moment just to pause.

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If we have any retakers in our chat today, you know, we know that retaking the NCLEX and all the study materials can be expensive.

206

So we want to offer you guys this $20 off the review.

207

So if you guys want to upload your CPR or your candidate's performance report, and then you're going to get an email with the offer.

208

Or I know they changed our social media, so you should also be able to click on the link if it pops up.

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Or you can also find it at uworldnursing.com.

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So there's several options to find this code.

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So you guys don't forget to take advantage of this.

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And this is for retakers only.

213

All right.

214

Next question.

215

And the nurse is assessing a client who is experiencing an acute exacerbation of asthma.

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Which of the following findings would require immediate follow-up?

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We have option one, abrupt discontinuation of wheezing.

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Option two, use of accessory muscles.

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Option three, non-productive cuffs.

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And we have option four, difficulty speaking.

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So here we have an acute exacerbation of asthma.

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And also let us know how you guys like to study, if there's any specific topics you guys need extra help in

223

in your free time go feel free to explore our all

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our channels we do post all our old videos we have

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some great videos on heart failure abgs chronic kidney disease we just did a video yesterday

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so if you guys have time go ahead

227

and check out those lectures the lectures are my favorite

228

because you learn a lot and even

229

if you already know it's just a nice review you know all right

230

so this one is going to be option one An abrupt discontinuation of wheezing is our immediate follow-up.

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This is silent chest and it's life-threatening.

232

So it typically requires mechanical ventilation or being in a ventilator.

233

So this is our immediate follow-up.

234

Wheezing is caused by air movement through the narrow airway, and that's what's happening in asthma and acute exacerbation of asthma.

235

So this is a common finding in clients due to the bronchoconstriction, wheezing.

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However, a sudden decrease in wheezing indicates the lack of airflow.

237

So also the silent chest.

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So this is an ominous sign that requires emergency interventions to prevent respiratory failure.

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So anytime we see this, that's going to alert you.

240

Wait a minute.

241

That's not expected.

242

And then the options two to four, these are expected findings.

243

We have used accessory muscles.

244

They are having an acute exacerbation of asthma.

245

So they are going to be breathing harder.

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We do have a nonproductive cuff and difficulty speaking.

247

So those are expected except the abrupt discontinuation of wheezing.

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So good job.

249

All right, next question.

250

The nurse is observing a staff member caring for a client with chronic obstructive pulmonary disease or COPD.

251

The nurse should intervene if the staff member is observed.

252

And then we have our options.

253

Option one, demonstrating per slip breathing for the client, providing the client with information about smoking cessation.

254

Option three, administering albuterol to the client before meals.

255

And option four, hyperoxygenating the client before assisting the client to ambulate?

256

Looking at your answers.

257

We're almost there.

258

We got two more questions to go.

259

Silent lungs, danger.

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Yes.

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If you're going to remember anything, remember that.

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Silent lungs, danger.

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We don't like that.

264

That was for our old question.

265

All right, guys.

266

Great job.

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Great job.

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And we did talk a little bit about COPD earlier.

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So these answers should relate to that.

270

Okay, okay.

271

I like the rationale, Steph Marie on TikTok.

272

Thank you.

273

All right, guys.

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Okay, so the correct answer for this one is going to be option four.

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So like I said, we did talk a little bit about COPD.

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But just to remind you guys, this is a progressive, irreversible, lower respiratory condition that's characterized by chronic inflammation,

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airway remodeling, and reduced expiratory airflow.

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So the long-term carbon dioxide retention, it actually decreases the body's sensitivity to elevated carbon dioxide levels.

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So these clients are getting accustomed to their new normal.

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So they're going to rely more heavily on decreased oxygen levels to help them stimulate breathing, right?

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We still need to breathe.

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So too much oxygen can reduce this stimulus.

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So it slows respiration and can worsen carbon dioxide retention.

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So we're not going to hyper oxygenate our client with COPD because this takes away their stimulus to breathe.

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So and I saw you guys put that in the rationale.

286

So great job.

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And then we have options one, two and three.

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These are appropriate for the client with COPD.

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The first lip breathing is appropriate.

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It prolongs exhalation.

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It prevents premature airway collapse and it helps improve airway exchange.

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Oxygen two, yes, smoking cessation is very important for clients with COPD.

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And option three, we talked about, you know, client with that short of breath trying to eat a large meal.

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So if we can help them, we would administer an albuterol before the meal so that we can, so the client can eat more comfortably and eat more.

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Great job.

296

All right, guys, we're almost there.

297

We have the nurse's caring for a client who has a chest tube attached.

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We have another chest tube to a closed chest drainage system.

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Which of the following actions should the nurse take?

300

And here we have a select all that apply.

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Option one, avoid stripping or milking the client's chest tube option two climb the chest tube while the client is ambulating

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option three withhold analgesics to prevent respiratory depression option four monitor the insertion site for subcutaneous emphysema

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and then we have option five instruct the client to avoid coughing

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and deep breathing let me know what you guys think we're

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so happy to have you guys here you guys have been doing amazing today within especially with rationale

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so everybody gets bonus points everybody here gets bonus points and that is your price for wednesday wednesday morning

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great job and remember we're going to have multiple correct answers for this one guys

308

all right somebody is done with nclix used your world question structure is exactly the same as nclix

309

so great job congratulations thank you for using us thank you for trusting us Nice.

310

All right, guys.

311

So the correct answers for this one are one in four, which I saw a lot in our comments.

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So we did talk a little bit about chest tubes.

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Just to remind you guys again, a chest tube is a closed chest system, closed chest drainage system.

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So it's used to generate negative pressure to help re-expand a collapsed lung

315

or to help us drain a fluid in that pleural space.

316

So option one is correct.

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We do not want to strip the tubing because it could dislodge or we can injure the lungs.

318

So we're not going to do that.

319

And then option four, we have monitor the insertion sites.

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Yes, which of the following should the nurse take?

321

So yes, we are going to monitor the insertion site for subcutaneous emphysema.

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This is part of our assessment, guys.

323

We're going to assess the client, their breathing, the output on the chest tube, what everything looks like and it's part of the focus assessment like I said.

324

So if we see any subcutaneous emphysema,

325

this can indicate that the tube is dislodged or that air is leaking into that subcutaneous tissue and this needs follow-up.

326

The other options are incorrect.

327

We do not clamp the chest tube.

328

We never clamp.

329

This can cause a pneumothorax or a collapsed lung.

330

So option two, no, we're not going to do that.

331

And then option three, chest tubes are very painful.

332

Just imagine having a chest tube literally inserted in your skin.

333

So we're not going to withhold analgesics.

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We're going to work with our clients to help them be comfortable with the chest tube

335

because they can stay there for a couple of days.

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And then we have option five, instruct the client to avoid coughing and deep breathing.

337

So this is not something we're going to instruct them.

338

Instead, we want them to cough and we want them to take deep breaths

339

so we can help move those secretions and they can breathe easier.

340

Great job.

341

Alrighty, and this is our last question for today.

342

The nurse is caring for a client who is experiencing an acute exacerbation of asthma.

343

The nurse should prepare to administer.

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We have albuterol, salmitrol, oh my gosh, lutecasone, and montelicast.

345

I feel like I just said a spell.

346

But you guys got this.

347

So we have here acute exacerbation of asthma.

348

What do we think?

349

Okay, good job, guys.

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And then how many have you guys gotten correct so far?

351

I also want to take this moment to tell you guys about our partnership with NSNA or the National Student Nurses Association.

352

With this partnership, we're hosting virtual webinars throughout the year and the upcoming ones are coming up in the fall.

353

So for more information, you can go to our social media, UWorld Nursing, or you can also check out NSNA's social media so you can sign up for our webinars.

354

All righty, guys.

355

This is our last question.

356

And as most of you, yeah, pretty much all of you guys got this one right.

357

We got option one.

358

So during an asthma attack, we need a fast-acting medication.

359

So that's going to be olibutyl.

360

It's a nebulized short-acting beta-2 agonist.

361

And this is going to open the airway and improve hypoxia.

362

The other options are incorrect.

363

Option two is used to prevent asthma attacks.

364

So it's not used for acute exacerbations.

365

Emphasis on acute.

366

I saw a couple say it was too easy.

367

It could be, but imagine if you're reading it too fast and you answer it incorrectly.

368

That's where we need to take our time.

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And then we have option three, flotacosone.

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So this inhaled systemic corticosteroids.

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So these are going to help for long term to help that underlying inflammation.

372

They take some time to actually work, so they're not going to be used for an acute exacerbation.

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And then lastly, we have that Montelicast.

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So this is a leukotriene inhibitor combined with a short-acting and corticosteroid inhaler like budesonide.

375

It can help provide long-term asthma control.

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However, it's not used for an acute exacerbation.

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So great job, you guys.

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That was our last question.

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Again, don't forget to visit youworldnursing.com.

380

That is where we have all our good links, all the goodies that you can sign up for.

381

Don't forget to like, share and subscribe.

382

Help us reach that goal.

383

And I'll always leave you with this message.

384

You have what it takes to be a safe and compassionate nurse.

385

And great job.

386

Thank you for watching.

387

Thank you.

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Bu dersin kelimeleri ve konuşma notları

Bu C1 seviyesindeki konuşma dersi “Live NCLEX® Respiratory Question Drill - Vertical” videosuna dayanıyor. En çok tekrarlanan kelimeler: option, client, nurse, chest, answer. Bu videoda gölgeleme çalışması için 387 cümle ve 3964 kelime var. Konuşma bölümü 24:10 sürüyor. Konuşmacı dakikada yaklaşık 164 kelimeyle, günlük konuşmaya yakın doğal bir hızda konuşuyor. Kelimelerin yalnızca %79’i İngilizcede en sık kullanılan 3.000 kelime arasında, bu yüzden kelime dağarcığı zorlayıcı.

Bu videodaki önemli kelimeler

Videodaki en ileri düzey 15 kelime, telaffuzu ve anlamıyla:

Kelime	Telaffuz	Anlam
asthma isim	/ˈæzmə/	astım, yelpik
acute sıfat	/əˈkjut/	keskin
respiratory sıfat	/ɹɪˈspɪ.ɹət.ə.ɹi/	solunumsal, respiratuar
secretion isim	/sɪˈkriːʃ(ə)n/	salgı, ifraz
wheeze isim	/ʍiːz/	hırıltı
accessory isim	/əkˈsɛs.(ə.)ɹi/	aksesuar
drainage isim	/ˈdɹeɪnəd͡ʒ/	drenaj
cough fiil	/kɔf/	öksürmek
assess fiil	/əˈsɛs/	değerlendirmek
rationale isim	/ˌɹæʃ.əˈnæl/	mantıklı izah, ussal açıklama
cuff isim	/kʌf/	manşet
inflammation isim	/ɪnfləˈmeɪ̯ʃən/	enflamasyon, iltihap
pneumonia isim	/njuˈməʊniə/	zatürre, pnömoni
portal isim	/ˈpɔːɹtl̩/	portal
drain isim	/dɹiːn/	gider, yağmur gideri

Duyacağınız deyimsel fiiller

Kelime	Telaffuz	Anlam
check out fiil		gözden geçirmek
take away fiil	/ˌteɪk əˈweɪ/	götürmek

Tekrar etmeye değer cümleler

Videodan, günlük konuşmada yeniden kullanabileceğiniz kısa ve tam cümleler:

What pushes you to check on this patient?
If you're going to remember anything, remember that.
All right, guys, we're almost there.
What do we think?
That's where we need to take our time.

Bu videodaki dil bilgisi

Konuşmacının en çok kullandığı yapılar, videodaki sözcüklerin aynısıyla:

Yapı	Videoda
Edilgen yapı be + fiilin üçüncü hâli — kimin yaptığı değil, ne olduğu önemli	be concerned · be immunocompromised · is composed
İlgi cümlecikleri who / which + cümle — bir kişi ya da şey hakkında ek bilgi	belly, which is · rationales, which is · tracts, which can
Present perfect have/has + fiilin üçüncü hâli — geçmişte olan ama şimdi de önemli olan bir eylem	haven't joined · have reduced · has attended

Dikkat edilecek telaffuzlar

Konuşmacı we're, don't, you're gibi kısaltılmış biçimleri 64 kez kullanıyor. Bunları duyduğunuz gibi kısa söyleyin.

“th” sesleri: withhold /wɪθˈhoʊld/, threaten /ˈθɹɛt.n̩/
“sh” ve “zh” sesleri: complication /ˌkɑm.pləˈkeɪ.ʃən/, exacerbation /ɪɡˈzæsɚˌbeɪʃən/, secretion /sɪˈkriːʃ(ə)n/, rationale /ˌɹæʃ.əˈnæl/, insertion /ɪnˈsɝʃən/
Uzun kelimeler — vurguyu doğru yere koyun: complication /ˌkɑm.pləˈkeɪ.ʃən/, exacerbation /ɪɡˈzæsɚˌbeɪʃən/, respiratory /ɹɪˈspɪ.ɹət.ə.ɹi/, accessory /əkˈsɛs.(ə.)ɹi/, subcutaneous /sʌbkjuːˈteɪnɪəs/

Türkçe konuşanların zorlandığı sesler:

/w/ — dudaklar yuvarlak, /v/ değil: airway /ˈɛɚ.weɪ/, webinar /ˈwɛb.əˌnɑː/, withhold /wɪθˈhoʊld/
Kelime başındaki ünsüz kümesi — araya ünlü eklemeyin: drainage /ˈdɹeɪnəd͡ʒ/, pneumonia /njuˈməʊniə/, drain /dɹiːn/, chloride /ˈklɔɹˌaɪd/, clamp /ˈklæmp/
/æ/ — “e”den daha açık: asthma /ˈæzmə/, exacerbation /ɪɡˈzæsɚˌbeɪʃən/, rationale /ˌɹæʃ.əˈnæl/, albuterol /ælˈbju.təˌɹɔl/, bacterial [bækˈtɪəɹiəɫ]

Bu videoyla nasıl çalışılır

Videonun tamamını konuşmadan bir kez dinleyin ve bilmediğiniz kelimeleri not edin.
0,75× hızla başlayın, cümle cümle tekrar edin ve kolaylaşınca normal hıza dönün.
Kendinizi kaydedin ve orijinaliyle karşılaştırın; asthma, acute, respiratory gibi kelimelere özellikle dikkat edin.

Gölgeleme Tekniği Nedir?

Gölgeleme, başlangıçta profesyonel tercüman eğitimi için geliştirilen ve çok dilli Dr. Alexander Arguelles tarafından popüler hale getirilen, bilim destekli bir dil öğrenme tekniğidir. Yöntem basit ama güçlüdür: ana dili İngilizce olan bir sesi dinler ve hemen yüksek sesle tekrar edersiniz — konuşmacıyı 1-2 saniye gecikmeyle takip eden bir gölge gibi. Pasif dinleme veya dilbilgisi alıştırmalarının aksine, gölgeleme beyninizi ve ağız kaslarınızı gerçek konuşma kalıplarını eşzamanlı olarak işlemeye ve yeniden üretmeye zorlar. Araştırmalar, telaffuz doğruluğu, tonlama, ritim, bağlı konuşma, dinleme anlama ve konuşma akıcılığını önemli ölçüde geliştirdiğini göstermektedir — bu da onu IELTS Konuşma hazırlığı ve gerçek dünya İngilizce iletişimi için en etkili yöntemlerden biri yapar.

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