ATI LPN
Acute Respiratory Care Nursing Questions Questions
Question 1 of 5
A client is diagnosed with congestive heart failure. The nurse should assess the client for which conditions that can alter this clients respiratory function?
Correct Answer: B
Rationale: Congestive heart failure (CHF) reduces cardiac output impairing oxygen transport (B) from lungs to tissues and $\mathrm{CO} 2$ return affecting respiratory function. Airway conditions (A) air movement (C) and diffusion (D) are less directly impacted by CHF making B the primary concern for assessing respiratory alterations.
Question 2 of 5
A nurse receives report about a client who has NS infusing IV at 125 ml/hr. When the nurse performs the initial assessment, he notes that the client has received only 80 ml over the last 2 hr. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Check the IV tubing for obstruction. The nurse should reposition but this isn't the first step, the nurse should document but this too isn't the first step. The nurse should request new IV fluid prescription to compensate for lost fluid but this isn't the first step.
Question 3 of 5
The nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use?
Correct Answer: D
Rationale: Hydrocolloid promotes healing in stage 2 by creating a moist wound bed. Alginate dressings are for stage 3 and 4 injuries to absorb drainage, moist gauze is for stage 4 or unstageable dressing that need debridement, transparent dressings are for stage 1 to prevent further friction.
Question 4 of 5
A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client?
Correct Answer: B
Rationale: Apply intermittent suction when withdrawing the catheter. Suctioning continuously for more than 10 seconds can cause cardiopulmonary compromise. The nurse should insert the suction while the client is inhaling to avoid inserting into the esophagus, discard the suction catheter to eliminate the risk for infection, and the nurse should use her dominant hand with a sterile glove.
Question 5 of 5
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Administer the medication with the needle at a 45 degree angle. Subcutaneous injections should be inserted at 45 to 90 degree angles. Enoxaparin is given in the abdomen, and the Z-track method is for IM injections. Massaging the site of an anticoagulant will increase bruising.