ATI RN
Oxygen Cycle Questions and Answers Questions
Question 1 of 5
A nurse is caring for a patient with diabetes and a foot ulcer. Which intervention is the priority?
Correct Answer: B
Rationale: The correct answer is B: Instruct the patient to elevate the foot. Elevating the foot helps reduce swelling, improve circulation, and promote wound healing in patients with foot ulcers. By elevating the foot, the pressure on the ulcer is reduced, which can prevent further damage and aid in the healing process. Encouraging the patient to wear shoes (A) may be important for protection, but it is not the priority over immediate wound care. Performing a sterile dressing change (C) and applying antibiotic ointment (D) are important interventions, but they should be done after elevating the foot to address the underlying issue of poor circulation and pressure on the ulcer.
Question 2 of 5
A patient with severe chronic obstructive pulmonary disease (COPD) tells the nurse, "I wish I were dead! I'm just a burden on everybody." Based on this information, which nursing diagnosis is most appropriate?
Correct Answer: C
Rationale: The most appropriate nursing diagnosis is "Ineffective coping related to unknown outcome of illness" (Choice C). This is because the patient's expression of feeling like a burden and wishing to be dead indicates difficulty coping with the uncertainties and challenges of their COPD. The patient's emotional distress and sense of hopelessness suggest ineffective coping mechanisms in dealing with their illness. Choice A (Complicated grieving) is incorrect because the patient's statement does not indicate grief over an actual loss, but rather a sense of burden and hopelessness. Choice B (Chronic low self-esteem) is incorrect as the patient's statement is more related to the impact of the illness on others rather than self-esteem issues. Choice D (Deficient knowledge) is not the most appropriate as the patient's statement reflects emotional distress rather than a lack of knowledge about COPD.
Question 3 of 5
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). The patient's O2 saturation is 88%. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Administer a nebulized bronchodilator first. In COPD, bronchodilators help improve airflow by relaxing the muscles around the airways. This can help improve oxygenation levels. Before increasing oxygen flow rate or encouraging deep breathing, it is essential to address the underlying issue of airway constriction. Nebulized bronchodilators act quickly to provide relief and improve oxygen saturation. Administering a short-acting bronchodilator (choice C) could also be beneficial, but nebulized bronchodilators are typically more effective in severe cases. Encouraging deep breathing exercises (choice D) can be helpful in the long term but may not address the immediate need for improved oxygenation in this situation.
Question 4 of 5
A patient is admitted with a history of asthma and is experiencing wheezing and shortness of breath. What is the priority intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer corticosteroids. In the scenario described, the priority intervention is to administer corticosteroids to reduce airway inflammation and improve breathing in an acute asthma exacerbation. This treatment addresses the underlying cause of the symptoms and helps to prevent further complications. Nebulized bronchodilators (choice A) and inhalers (choice C) are important treatments for asthma but are typically used after corticosteroids to provide immediate relief of symptoms. Administering subcutaneous insulin (choice D) is not relevant to the management of asthma and would not address the patient's respiratory distress.
Question 5 of 5
A nurse is caring for a patient with a history of stroke. The patient is experiencing slurred speech and weakness. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Perform a neurological exam. This is the priority action because the patient's symptoms of slurred speech and weakness indicate a potential stroke recurrence. By performing a neurological exam, the nurse can assess the patient's current neurological status, determine the severity of the symptoms, and identify any signs of worsening condition or complications. This information is crucial for timely intervention and management of the patient's condition. Summary: B: Notifying the healthcare provider can be important but assessing the patient's neurological status is the immediate priority. C: Administering insulin therapy is not indicated for slurred speech and weakness in a patient with a history of stroke. D: Administering IV fluids and monitoring blood glucose is not the priority action in this situation; neurological assessment takes precedence.