ATI LPN
Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 28 Questions
Question 1 of 5
You are caring for a patient who has lung disease. Yesterday, the patient was pleasant and cooperative. Today, the patient is irritable, restless, and a little confused. She is also complaining of a headache. What concerns you the most about this situation?
Correct Answer: B
Rationale: Irritability, restlessness, confusion, and headache are classic signs of early hypoxia in a patient with lung disease.
Question 2 of 5
Your patient has a blood pH of 7.48 and is on oxygen at 8 L/min. Which oxygen delivery device is best for this patient?
Correct Answer: B
Rationale: A Venturi mask delivers precise oxygen concentrations, ideal for a patient with alkalosis (pH 7.48) to avoid over-oxygenation.
Question 3 of 5
You listen to the patient's lungs and hear adventitious breath sounds bilaterally. You note a frequent productive cough of thick yellow sputum. Which other assessments will you quickly make?
Correct Answer: A,B,C
Rationale: These assessments evaluate oxygenation, respiratory status, and signs of infection, critical in this scenario.
Question 4 of 5
When you look at the arterial blood gas results on your patient, you see that his pH is 7.32. What concern do you have for this patient?
Correct Answer: B
Rationale: A pH of 7.32 indicates acidosis, as it is below the normal range of 7.35-7.45.
Question 5 of 5
Incentive spirometry is used to:
Correct Answer: B
Rationale: Incentive spirometry promotes deep breathing to prevent pneumonia and atelectasis post-surgery or in lung disease.