ATI RN
Nursing Questions on Oxygenation Questions
Question 1 of 5
A patient receiving rifampin for tuberculosis reports orange discoloration of urine. What should the nurse do?
Correct Answer: B
Rationale: The correct answer is B: Reassure the patient this is a normal side effect. Rifampin commonly causes orange discoloration of urine, known as rifampin-induced discoloration. This is a harmless and expected side effect due to the drug's mechanism of action. Discontinuing the medication immediately (A) is unnecessary as it does not pose a serious risk. Notifying the healthcare provider immediately (C) is not required for this benign side effect. Assessing for signs of hepatotoxicity (D) is not relevant to the orange discoloration of urine.
Question 2 of 5
Which patient statement indicates the need for further teaching about pursed-lip breathing?
Correct Answer: D
Rationale: The correct answer is D because puffing the cheeks while exhaling through pursed lips is not a correct technique for pursed-lip breathing. Pursed-lip breathing involves inhaling through the nose and exhaling slowly through pursed lips, which helps improve breathing efficiency. Option A correctly describes the inhalation and exhalation process. Option B correctly mentions the recommended exhalation duration. Option C correctly suggests practicing pursed-lip breathing during activities.
Question 3 of 5
A patient with COPD is hospitalized for increasing shortness of breath. Which assessment finding requires immediate intervention?
Correct Answer: B
Rationale: The correct answer is B because an oxygen saturation of 85% on room air indicates severe hypoxemia and requires immediate intervention to prevent organ damage. Oxygen therapy is needed to improve oxygenation. Choice A (Barrel-shaped chest) is a common finding in patients with COPD but does not require immediate intervention. Choice C (Increased anterior-posterior chest diameter) is also a common finding in patients with COPD and does not require immediate intervention. Choice D (Productive cough with yellow sputum) is concerning for a respiratory infection but does not indicate an immediate need for intervention to address the hypoxemia.
Question 4 of 5
A patient with pneumonia develops confusion. What is the nurse's first action?
Correct Answer: A
Rationale: The correct first action is to assess the patient's oxygen saturation (Choice A). Confusion in a patient with pneumonia could indicate hypoxemia, so assessing oxygen saturation helps determine if the confusion is due to inadequate oxygen supply. This step is crucial for immediate intervention. Notifying the healthcare provider (Choice B) can be important but should come after assessing the patient's oxygen saturation. Administering antibiotics (Choice C) is necessary but should not be the first action when a change in mental status occurs. Reassessing vital signs (Choice D) is important but may not provide immediate information on the cause of confusion.
Question 5 of 5
A patient diagnosed with active tuberculosis (TB) is homeless and has a history of alcohol abuse. Which intervention by the nurse will be most effective in ensuring adherence with the treatment regimen?
Correct Answer: C
Rationale: The correct answer is C: Arrange for the patient's friend to administer the medication on schedule. This intervention addresses the patient's social support system, ensuring someone close to them can help with medication adherence. Homelessness and alcohol abuse can make it challenging for the patient to adhere to the treatment regimen independently. Providing support from a trusted friend can increase accountability and motivation. A: Repeating warnings may not address the underlying issues of homelessness and alcohol abuse. B: Giving written instructions may not be effective if the patient struggles with literacy or forgetfulness. D: While providing meals and drug administration at a community center may be helpful, it doesn't address the patient's need for personalized support.