ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 14 Questions
Question 1 of 5
When an older adult patient with chronic emphysema comes to the emergency department in respiratory distress at what rate should the nurse begin oxygen per nasal cannula?
Correct Answer: A
Rationale: Administering O2 at more than 2 L/min to a person with chronic pulmonary disease may cause respiratory failure.
Question 2 of 5
The nurse instructs a patient receiving home O2 therapy to drink plenty of fluids to help keep bronchial secretions liquefied. What is the recommended fluid?
Correct Answer: B
Rationale: Water is the best option. Drinks with caffeine, sugar, or dairy products are not helpful to liquefy secretions.
Question 3 of 5
The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently. What is the purpose of the inflated cuff?
Correct Answer: D
Rationale: The cuff is inflated to prevent aspiration while eating or when cleaning the tracheostomy tube.
Question 4 of 5
Which of the following is an appropriate nursing measure when performing tracheostomy care?
Correct Answer: B
Rationale: Insertion of the suction catheter without suction reduces the probability of tissue injury. Sterile gloves should be used for tracheostomy care. Suctioning should be done for a maximum of 10 seconds at a time. A used catheter should be disposed of appropriately.
Question 5 of 5
An 80-year-old male patient has been admitted to the acute care facility with the diagnosis of pneumonia. He is receiving oxygen via nasal cannula at 2 L/min. The nurse assesses respirations at 24/min PaO2 level 88 mm Hg and pink skin tone. What action should the nurse implement?
Correct Answer: C
Rationale: The nurse would document PaO2 level. Normal arterial oxygen levels sometimes decrease with age, but not usually low enough to fall outside the normal range. It may be possible for an 80-year-old person to have an arterial partial pressure oxygen (PaO2) level (the amount of oxygen found in the arterial circulation) between 80 and 85 mm Hg (normal range is 80 to 100 mm Hg) without experiencing significant alterations in health.