. . . NSG 100 NCLEX Kaplan Question Bank A patient comes to the emergency room with a possible pneumothorax. The nurse should assess for which of the following? 1 Rapid respirations. . 2 Deep, rapid respirations. . 3 Respiratory depression. . 4 Periods of hyperpnea alternating with periods of apnea. . Strategy: Think about each answer. 1) CORRECT describes tachypnea 2) hyperpnea; causes include metabolic acidosis, diabetic ketoacidosis 3) occurs with drug overdose 4) Cheyne-Stokes respirations; crescendo breathing; cause is cerebral lesion The nurse prepares a client for a barium enema. It is MOST important for the nurse to include which of the following instructions? 1 Your stool will be light-colored for 2 to 3 days after the test. 2 Once the test is over and you go to the toilet, you will be able to resume normal . activities. 3 The x-ray table will be tilted so you can assume various positions. 4 During the test, it is crucial that you take slow, deep breaths through your mouth. Strategy: MOST important indicates priority. 1) accurate information but not the most important 2) after the rectal tube is removed and client evacuates the bowels, additional x-rays are taken; due