ATI RN
Nursing Fundamentals Oxygenation Questions Questions
Question 1 of 5
A patient with chronic bronchitis is prescribed a combination inhaler containing a corticosteroid and a long-acting beta-agonist. Which instruction should the nurse emphasize?
Correct Answer: B
Rationale: The correct answer is B: Rinse your mouth after using this inhaler. The nurse should emphasize this instruction to prevent oral thrush, a common side effect of inhaled corticosteroids. Rinsing the mouth helps to remove any residual medication that can lead to fungal overgrowth. A: Using the inhaler during acute asthma attacks is not appropriate as this combination inhaler is indicated for chronic bronchitis, not for acute asthma exacerbations. C: Taking the medication only when symptoms occur is incorrect as these medications should be used regularly to control symptoms in chronic bronchitis. D: Shaking the inhaler before use is a common instruction for inhalers, but it is not the most crucial instruction for this particular combination inhaler.
Question 2 of 5
A patient with COPD reports increased dyspnea. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A: Administer a prescribed bronchodilator. This is the first intervention because it helps to relieve bronchoconstriction and improve airflow, addressing the immediate symptom of dyspnea in COPD. Bronchodilators act quickly to open up the airways, providing prompt relief. B: Increasing oxygen flow rate may be necessary, but addressing bronchoconstriction with a bronchodilator should come first. C: Assessing arterial blood gases is important for evaluating oxygenation status, but administering a bronchodilator should be the initial action for immediate relief of dyspnea. D: Encouraging pursed-lip breathing is a helpful technique for managing dyspnea in COPD, but administering a bronchodilator is the priority to address the underlying bronchoconstriction causing the increased dyspnea.
Question 3 of 5
A patient with a chest tube has no drainage in the collection chamber for 2 hours. What is the nurse's best action?
Correct Answer: C
Rationale: The correct answer is C: Assess for kinks or obstructions in the tubing. This is the best action because lack of drainage in the collection chamber could indicate a blockage in the tubing, preventing proper drainage. By assessing for kinks or obstructions first, the nurse can identify and address the issue causing the lack of drainage. Repositioning the patient may not address the underlying problem, clamping the chest tube could cause a tension pneumothorax, and removing the chest tube without addressing the cause could lead to complications.
Question 4 of 5
Which nursing action is most important for preventing ventilator-associated pneumonia (VAP)?
Correct Answer: B
Rationale: The correct answer is B: Performing frequent oral care with chlorhexidine. This is crucial for preventing VAP as it helps reduce the colonization of bacteria in the oral cavity that can be aspirated into the lungs. Antibiotics (A) are not preventive measures for VAP. Turning the patient (C) helps prevent pressure ulcers, not VAP. Keeping the patient sedated (D) can lead to inadequate respiratory effort and increase the risk of VAP. Overall, proper oral care plays a significant role in reducing the risk of VAP by minimizing bacterial growth in the mouth.
Question 5 of 5
Which intervention is most important for a patient with rib fractures to prevent complications?
Correct Answer: C
Rationale: The correct answer is C because administering pain medication before deep breathing helps manage pain during deep breathing exercises, which are essential for preventing atelectasis and pneumonia in patients with rib fractures. Shallow breathing (Choice B) can lead to complications, so it should not be encouraged. Applying a rib binder (Choice A) may restrict chest expansion and hinder deep breathing. Restricting fluid intake (Choice D) is not directly related to preventing complications from rib fractures.