Walkthrough: Reduction of Risk Potential Q9 – NCLEX-RN®

00:01 The nurse has been given report on four clients.

00:04 Which client is at greatest risk for decreased oxygenation? Okay, short question but big implications.

00:12 So let's walk through this.

00:14 I'm getting four clients, this just tells me, I have a priority question.

00:19 Which question is at greatest risk for what? Yes, decreased oxygenation.

00:25 So, I know you have your answer sheet right there, and you have just the numbers 1, 2, 3, and 4 visible.

00:31 Now what I want you to do is to pick anywhere to start, and then take that client as your baseline and then say, another answer choice, do they have a greater risk for decreased oxygenation than the one I picked? Use that similar strategy all the way through And when you're eliminating the answer, make sure you say why.

00:52 That's going to help you ensure to get the best answer.

00:55 So go ahead, press pause.

00:57 Work through this question on your own, then come back, and we'll walk through it together.

01:09 Hey, welcome back.

01:10 I want to keep encouraging you.

01:12 Thank you for doing the work.

01:14 This is the kind of stuff that makes new connections in your brain and raises your test scores.

01:20 So I'm looking for someone who's at greatest risk for decreased oxygenation.

01:25 I'm going to start with number three, just feeling like it today.

01:28 Okay, so an adolescent who smokes several cigarettes a day.

01:32 Well, that's no bueno.

01:34 That is going to affect your oxygenation.

01:37 So I'm going to keep that one in.

01:39 But keep in mind, anytime an age is included in the stem of a question or in the answers, it probably matters.

01:48 So this is an adolescent who smokes several cigarettes a day.

01:52 That's my starting point.

01:53 So I'm going to compare number three to I don't know number two, okay.

01:58 So a middle age client, who has a past history of leukemia.

02:04 Okay, I'm looking for decreased oxygenation.

02:07 That would be more of a red cell issue.

02:10 Leukemia patient had a white cell issue.

02:12 So, no.

02:14 Number two is not a bigger risk for decreased oxygenation than where I started number three.

02:21 So I can cross off number two. Number three, still in the running.

02:25 Let me look at number one.

02:27 An older adult, Okay, that gets my attention, Who takes hydrocodone twice a day.

02:35 Okay. So that's a medication.

02:37 Does it have any impact on oxygenation? An older person who's taking a medication? Does it have impact on respirations? Yeah, it does.

02:48 It can suppress them.

02:50 They take it twice a day.

02:52 Now, if this was an adolescent taking this medication, I wouldn't be as concerned.

02:57 But because they're an older adult, they're taking it twice a day.

03:01 And I know that medications like this tend to hang around and an older client longer than they would a young person.

03:07 I think number one, is a higher risk for decreased oxygenation than number three.

03:14 Yeah, I get it.

03:15 They're smoking several cigarettes a day, but they're still much younger.

03:19 They're an adolescent.

03:21 So number one is a higher risk.

03:23 I've eliminated number two and number three.

03:26 And we gave the rationale why.

03:28 Now I got to compare number one to number four.

03:32 Number four, is a middle aged client.

03:35 So a little younger than the older adult, who has vomited three times in the last hour.

03:40 I'm looking for greatest risk for decreased oxygenation.

03:45 Well, don't make a movie.

03:47 Number four is middle age, they have vomited, but nothing there tells us they've aspirated or they're unconscious.

03:53 So those would be the types of things of problems with oxygenation, that vomiting could cause.

03:59 Nothing tells us that it's there.

04:02 So number four, I'm going to eliminate you.

04:05 And number one is the best answer for the client who's at greatest risk for decreased oxygenation.

04:12 Run through your answer choices one more time? Yep, that makes sense that number one is the most correct answer.

04:18 We compared it to two, three, and four.

04:20 Number one is the clear winner.

04:22 So I'm going to submit my answer and move along, right? Don't waller.

04:27 Don't try and talk yourself into another answer.

04:29 As long as you're consistent through the same steps every time, you can trust your answer.

04:35 Remember, you are never going to get every question, right.

04:39 No one does on the NCLEX.

04:41 But it's okay.

04:42 Just do your best.

04:44 Now reflect on this question.

04:46 Did you get it right or wrong? What needs to go into your notebook? Is there some knowledge that needs to go in there? Is there a strategy that needs to go in there? Is there something you need to work on in answering priority questions that you're struggling with.

05:01 Note that in your notebooks.

05:02 so you can remind yourself because all of us are working together to make sure you have a better testing experience.