ATI RN
Oxygenation NCLEX Questions Quizlet Questions
Question 1 of 5
A nurse is caring for a patient who is receiving chemotherapy and is experiencing nausea. What is the priority nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer IV fluids. The priority nursing intervention for a patient experiencing nausea while receiving chemotherapy is to administer IV fluids. Chemotherapy can cause dehydration due to vomiting and lack of oral intake, which can lead to electrolyte imbalances and compromised renal function. Administering IV fluids helps maintain hydration, support renal function, and prevent complications. Administering antiemetics (choice A) can help alleviate nausea but does not address the underlying issue of dehydration. Nebulized bronchodilators (choice C) are not indicated for nausea related to chemotherapy. Monitoring vital signs (choice D) is important but not the priority intervention in this case where hydration is the main concern.
Question 2 of 5
When assessing a patient with a sore throat, the nurse notes anterior cervical lymph node swelling, a temperature of 101.6°F (38.7°C), and yellow patches on the tonsils. Which action will the nurse anticipate taking?
Correct Answer: A
Rationale: Yellow patches and fever suggest bacterial infection (e.g., strep); a throat culture is anticipated to confirm diagnosis.
Question 3 of 5
When assessing a patient who has just arrived after an automobile accident, the emergency department nurse notes tachycardia and absent breath sounds over the right lung. For which intervention will the nurse prepare the patient?
Correct Answer: D
Rationale: Absent breath sounds and tachycardia suggest a pneumothorax; a chest tube is needed to re-expand the lung.
Question 4 of 5
Which intervention will the nurse include in the plan of care for a patient who is diagnosed with a lung abscess?
Correct Answer: B
Rationale: Chest physiotherapy and postural drainage help drain the abscess, promoting resolution.
Question 5 of 5
Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis. Which intervention should the nurse include in the plan of care?
Correct Answer: C
Rationale: Albuterol opens airways, enhancing the effectiveness of postural drainage and percussion.