ATI RN
Oxygen Cycle Questions and Answers Questions
Question 1 of 5
A nurse is preparing a client for a bronchoscopy scheduled in an hour. What action by the nurse takes priority?
Correct Answer: A
Rationale: In this scenario, the correct answer is option A: Ensure that informed consent is on the chart. This action takes priority because informed consent is a crucial legal and ethical requirement before any medical procedure. Without proper informed consent, the bronchoscopy cannot proceed, as it ensures that the client understands the procedure, its risks, benefits, and alternatives. Option B (Administer preoperative anxiolytic medication) is not the priority in this situation because while managing the client's anxiety is important, ensuring informed consent is a fundamental step that must be completed before any other interventions. Option C (Reinforce any teaching done previously) is also not the priority at this moment. While client education is essential for a bronchoscopy, ensuring informed consent is more time-sensitive and critical. Option D (Start the preoperative antibiotic infusion) is not the priority as well. While antibiotic prophylaxis may be a part of the preoperative preparation for a bronchoscopy, it is not the first step. Informed consent must be obtained before any interventions are initiated. From an educational standpoint, it is important for healthcare professionals to understand the legal and ethical implications of informed consent in patient care. Emphasizing the significance of this process in ensuring patient autonomy, understanding, and participation in their care is crucial for providing safe and effective healthcare services. Healthcare providers must prioritize obtaining informed consent before proceeding with any medical procedure to uphold ethical standards and respect the rights of the clients.
Question 2 of 5
Which assessment finding indicates to the nurse that a woman's preeclampsia should now be considered severe?
Correct Answer: B
Rationale: In the context of preeclampsia, which is a serious pregnancy complication characterized by high blood pressure and signs of damage to other organs, an elevated serum creatinine level of 3.1 mg/dL is a critical indicator of severe preeclampsia. Creatinine is a waste product normally filtered by the kidneys. An elevated level indicates impaired kidney function, which is a key feature of severe preeclampsia. Option A, urine output of 40 mL/hour for the past 2 hours, while decreased, is not as specific an indicator of severe preeclampsia as elevated serum creatinine. Decreased urine output is a sign of kidney impairment but is less specific than a high serum creatinine level. Option C, seeing 'sparkly' things in the visual field, is a symptom of visual disturbances associated with preeclampsia called visual scotoma. While concerning, it is not as definitive an indicator of severe preeclampsia as kidney damage indicated by elevated creatinine levels. Option D, crackles in both lungs, is more indicative of pulmonary edema, a complication of severe preeclampsia, rather than being a direct sign of severe preeclampsia itself. Educationally, understanding the significance of different assessment findings in preeclampsia is crucial for nurses and healthcare providers caring for pregnant women. Recognizing the signs of severe preeclampsia promptly is vital for timely intervention to prevent life-threatening complications for both the mother and the baby. This question emphasizes the importance of closely monitoring kidney function in women with preeclampsia to identify the progression to severe disease and take appropriate actions.
Question 3 of 5
The nurse is providing care to a client admitted to the emergency department with the diagnosis of acute respiratory distress syndrome (ARDS). When educating the client's family, what should the nurse say is the expected progression of the disease process?
Correct Answer: B
Rationale: The correct answer is B) Onset of pulmonary edema. In acute respiratory distress syndrome (ARDS), the alveolar-capillary membrane becomes more permeable, allowing fluid to leak into the alveoli, leading to pulmonary edema. This process impairs gas exchange and can result in severe hypoxemia. Option A) Initiation of ARDS is incorrect because ARDS refers to the syndrome itself, not the beginning of it. Option C) End-stage ARDS is incorrect as it implies a specific final stage, whereas ARDS can have varying degrees of severity and outcomes. Option D) Alveolar collapse is a consequence of ARDS but does not specifically describe the expected progression in this scenario. In an educational context, understanding the expected progression of ARDS helps healthcare providers, patients, and families comprehend the disease process, anticipate complications, and make informed decisions regarding treatment and care. Educating families about ARDS progression can also help them cope with the challenges and uncertainties associated with the condition, promoting better communication and support in the healthcare setting.
Question 4 of 5
The nurse is collecting a health history for a 12-month-old child. The child lives in a home where both parents smoke, and the child has had respiratory syncytial virus twice since birth. The child's older sister was recently diagnosed with asthma. The nurse understands that this child's risk of developing asthma later in life is
Correct Answer: A
Rationale: The correct answer is A) above average. The child's exposure to secondhand smoke from both parents, recurrent respiratory syncytial virus (RSV) infections, and a family history of asthma significantly increase the child's risk of developing asthma. Secondhand smoke exposure and respiratory infections like RSV can damage the developing lungs and increase susceptibility to respiratory conditions like asthma. Additionally, a genetic predisposition to asthma from the older sister's diagnosis further elevates the child's risk level. Option B) average is incorrect because the child's risk factors exceed what would be considered typical for the general population. Option C) below average and Option D) well below average are also incorrect as the presence of multiple high-risk factors places the child in a higher risk category for developing asthma. Educationally, this question and answer provide important insights for healthcare providers about the impact of environmental factors, infections, and genetic predisposition on a child's respiratory health. Understanding these risk factors is crucial for early identification, prevention, and management of asthma in pediatric patients. By recognizing and addressing these risks early on, healthcare providers can intervene to reduce the child's likelihood of developing asthma and promote better respiratory health outcomes.
Question 5 of 5
Which prevention strategies would be the most beneficial for the nurse to discuss with the parents of a child who has had repeated admissions for respiratory syncytial virus (RSV) bronchiolitis? Select one that doesn't apply.
Correct Answer: C
Rationale: The correct answer to the question is option C: Encourage physical activity and play. This option is incorrect because physical activity and play do not directly address the prevention of respiratory syncytial virus (RSV) transmission, which is crucial in reducing repeated admissions for RSV bronchiolitis. Option A, avoiding smoking and secondhand smoke exposure, is important because smoke can irritate the airways and make children more susceptible to respiratory infections like RSV. Hand washing (option B) is essential in preventing the spread of viruses, including RSV, as it helps reduce the transmission of pathogens from contaminated surfaces to the child's respiratory system. Option D, considering alternatives to sending the child to daycare, is also beneficial as daycare settings can increase the child's exposure to viruses and other pathogens. In an educational context, it is crucial for nurses to provide evidence-based recommendations to parents on preventing respiratory infections like RSV. By explaining the rationale behind each prevention strategy, nurses can empower parents to make informed decisions that can effectively protect their child's respiratory health. Encouraging a holistic approach to prevention, which includes avoiding smoke, practicing good hygiene, and minimizing exposure to potential sources of infection, can significantly reduce the risk of recurrent respiratory illnesses in children.