ATI RN
Oxygen Questions and Answers PDF Questions
Question 1 of 5
A nurse is providing discharge instructions for a client prescribed a new inhaled corticosteroid. Which of the following should the nurse emphasize?
Correct Answer: B
Rationale: The correct answer is B: Rinse your mouth after using the inhaler. This is important because inhaled corticosteroids can increase the risk of oral thrush, so rinsing the mouth helps prevent this side effect. Choice A is incorrect because inhaled corticosteroids are not used during acute asthma attacks. Choice C is incorrect because inhaled corticosteroids are typically taken on an empty stomach. Choice D is incorrect because using a spacer with the inhaler can actually improve medication delivery and effectiveness.
Question 2 of 5
The nurse is preparing a teaching plan for a client with emphysema. What should the nurse emphasize to prevent complications?
Correct Answer: B
Rationale: The correct answer is B: Avoid exposure to respiratory irritants. Emphasizing this point is crucial in preventing complications for a client with emphysema because irritants such as smoke, pollution, and dust can worsen respiratory symptoms and exacerbate the condition. By avoiding these triggers, the client can reduce the risk of flare-ups and complications. Other choices are incorrect because: A: Limiting physical activity may lead to deconditioning and weaken respiratory muscles, which can worsen the client's condition. C: Using a humidifier can help with dryness, but it does not address the primary concern of avoiding irritants that can exacerbate emphysema. D: Increasing sodium intake is not directly related to preventing complications in emphysema and can even lead to fluid retention and worsen symptoms.
Question 3 of 5
A client with pulmonary fibrosis is being treated with supplemental oxygen. What is the primary goal of oxygen therapy in this condition?
Correct Answer: B
Rationale: The primary goal of oxygen therapy in pulmonary fibrosis is to reduce the work of breathing. Pulmonary fibrosis causes stiffening and scarring of the lung tissue, making breathing more difficult. Supplemental oxygen helps improve oxygen levels in the blood, reducing the effort required to breathe. This can alleviate symptoms such as shortness of breath and improve the client's quality of life. Explanation of why other choices are incorrect: A: Oxygen therapy does not cure pulmonary fibrosis. It only helps manage symptoms. C: Oxygen therapy does not eliminate the need for medications in pulmonary fibrosis. Medications may still be necessary to manage the underlying condition. D: Oxygen therapy does not aim to prevent respiratory alkalosis in pulmonary fibrosis. It primarily focuses on improving oxygenation and reducing the work of breathing.
Question 4 of 5
The nurse is teaching a client with pneumonia about incentive spirometer use. What statement indicates correct understanding?
Correct Answer: B
Rationale: The correct answer is B: "I will inhale deeply into the device to expand my lungs." This statement indicates correct understanding because using an incentive spirometer involves inhaling deeply to fully expand the lungs, promoting better lung ventilation and preventing complications like pneumonia. Choice A is incorrect because using the device once every few hours may not be frequent enough. Choice C is incorrect because the spirometer should be used proactively, not just when feeling short of breath. Choice D is incorrect because exhaling quickly is not the correct technique for using an incentive spirometer.
Question 5 of 5
The nurse is caring for a client who is intubated and on mechanical ventilation. Which action is most effective in preventing ventilator-associated pneumonia (VAP)?
Correct Answer: B
Rationale: The correct answer is B: Providing oral care with chlorhexidine. This is because oral care helps reduce the bacteria in the mouth that can be aspirated into the lungs, leading to VAP. Regular oral care with chlorhexidine can prevent colonization of harmful bacteria in the oral cavity, reducing the risk of VAP. Administering antibiotics won't prevent VAP but treat infections. Suctioning every hour can increase the risk of infection, and elevating the head of the bed to 15 degrees may help prevent aspiration but is not as effective as proper oral care in preventing VAP.