ATI RN
Chapter 41 Oxygenation NCLEX Questions Questions
Question 1 of 5
A nurse is caring for a patient with a history of chronic kidney disease (CKD). The patient is experiencing fluid retention. What is the priority nursing action?
Correct Answer: A
Rationale: The correct answer is A: Administer albuterol. Albuterol is a bronchodilator that helps to relieve fluid retention by promoting diuresis through the dilation of blood vessels. Step 1: Assess the patient's condition and identify fluid retention as an issue. Step 2: Administer albuterol as it helps to reduce fluid volume by increasing urine output. Step 3: Monitor the patient for improvement in fluid status. Other choices are incorrect because B: Monitoring blood pressure is important but not the priority in this case. C: Administering IV fluids would worsen fluid retention. D: Administering antihypertensive medications may not directly address the fluid retention issue.
Question 2 of 5
A patient with a tracheostomy has a new order for a fenestrated tracheostomy tube. Which action should the nurse include in the plan of care in collaboration with the speech therapist?
Correct Answer: C
Rationale: Fenestrated tubes allow speech and swallowing; assessing swallow ability is critical to prevent aspiration.
Question 3 of 5
Which action should the nurse plan to prevent aspiration in a high-risk patient?
Correct Answer: B
Rationale: A side-lying position reduces aspiration risk in patients with altered consciousness by preventing gastric contents from entering the airway.
Question 4 of 5
The nurse completes discharge teaching for a patient who has had a lung transplant. Which patient statement indicates to the nurse that the teaching has been effective?
Correct Answer: D
Rationale: Prompt reporting of fever is critical post-transplant to detect infection or rejection early.
Question 5 of 5
The patient removes the facial mask when misting stops.
Correct Answer: C
Rationale: This appears to be a partial question combined with the next one. Assuming it relates to inhaler use, the correct technique does not involve removing the mask when misting stops or activating at expiration. For the next question on spirometry, withholding bronchodilators (C) is correct to ensure accurate baseline lung function.