ATI RN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
A client with a tracheostomy is at risk for aspiration. What intervention should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Position the client in high Fowler's position during meals. This helps prevent aspiration by promoting proper swallowing and reducing the risk of food or liquids entering the tracheostomy. Keeping the client NPO (A) is not necessary unless directed by a healthcare provider. Suctioning the tracheostomy frequently (C) can increase the risk of infection and is only done when there is visible secretions. Providing thickened liquids (D) may still pose a risk of aspiration, so positioning is more effective in preventing this complication.
Question 2 of 5
A nurse is caring for a client receiving high-flow oxygen therapy. Which complication should the nurse monitor for?
Correct Answer: A
Rationale: The correct answer is A: Oxygen toxicity. High-flow oxygen therapy can lead to oxygen toxicity, causing lung damage and respiratory failure. The nurse should monitor for signs such as dyspnea, cough, chest pain, and hypoxemia. Other choices are incorrect because: B: Pulmonary embolism is a complication of blood clots traveling to the lungs, not directly related to high-flow oxygen therapy. C: Carbon dioxide retention is more likely to occur in patients with chronic lung disease and not specifically related to high-flow oxygen therapy. D: Pneumothorax is the accumulation of air in the pleural space, which can happen spontaneously or due to trauma, not directly caused by high-flow oxygen therapy.
Question 3 of 5
The nurse is reviewing discharge instructions for a client with obstructive sleep apnea (OSA). Which statement indicates correct understanding?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Losing weight can reduce excess tissue in the throat, which can improve airway patency and decrease symptoms of obstructive sleep apnea. 2. Weight loss is a non-invasive, long-term solution for managing OSA. 3. The other choices are incorrect because: A is not true as CPAP therapy is typically a lifelong treatment; C can worsen OSA by promoting airway collapse; D is false as CPAP should be used for the entire duration of sleep to effectively manage OSA.
Question 4 of 5
The nurse is caring for a client with ARDS on mechanical ventilation. What is the priority assessment?
Correct Answer: A
Rationale: The correct answer is A: Ensuring proper endotracheal tube placement. This is the priority assessment because an improperly placed tube can lead to inadequate oxygenation or ventilation. Steps to ensure proper placement include assessing breath sounds, chest rise, and tube position on chest X-ray. Checking for pressure ulcers (B) is important but not the priority. Assessing for ventilator-associated pneumonia (C) and monitoring for signs of respiratory alkalosis (D) are important but secondary to ensuring proper tube placement for adequate oxygenation and ventilation.
Question 5 of 5
The nurse is providing discharge teaching to a client with obstructive sleep apnea. Which statement by the client indicates correct understanding?
Correct Answer: B
Rationale: The correct answer is B: Using my CPAP device will help reduce daytime sleepiness. This statement shows understanding that continuous positive airway pressure (CPAP) therapy is essential in managing obstructive sleep apnea and reducing daytime sleepiness. CPAP helps keep the airway open during sleep, improving oxygen levels and quality of sleep. It is a standard treatment for sleep apnea. Summary of incorrect choices: A: Sleeping on the back can actually worsen obstructive sleep apnea by causing the tongue to fall back and obstruct the airway. C: Stopping CPAP therapy abruptly can lead to symptoms returning or worsening. It is typically a lifelong therapy for most individuals with sleep apnea. D: Sleeping fewer hours will not improve sleep apnea symptoms; in fact, it can exacerbate daytime sleepiness and other symptoms.