ATI RN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
A patient with influenza develops crackles in the lungs. What should the nurse do next?
Correct Answer: B
Rationale: The correct answer is B: Notify the provider of possible pneumonia. Crackles in the lungs in a patient with influenza could indicate pneumonia, which requires prompt treatment. Notifying the provider allows for further assessment and appropriate management. Monitoring vital signs (A) is important but does not address the potential complication of pneumonia. Providing supportive care and hydration (C) is necessary but does not address the urgent need to consider pneumonia. Administering decongestants (D) is not appropriate for treating pneumonia and may not address the underlying cause of crackles in the lungs.
Question 2 of 5
The nurse prepares a patient for a thoracentesis. What is the most appropriate action?
Correct Answer: C
Rationale: The most appropriate action is to instruct the patient to remain still during the thoracentesis procedure to minimize the risk of complications such as injury to surrounding tissues. Moving during the procedure can lead to inaccurate placement of the needle and potential damage. Positioning the patient in a semi-Fowler's position (A) is often used for comfort but not crucial for the procedure. Ensuring NPO status (B) is not necessary for thoracentesis. Administering analgesics (D) is not typically done before the procedure unless there is a specific reason.
Question 3 of 5
A nurse prepares a patient with pleural effusion for thoracentesis. What is the appropriate position for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Sitting upright and leaning over a bedside table. This position allows gravity to assist in moving the fluid away from the needle insertion site, reducing the risk of puncturing underlying structures. Sitting position also facilitates easier breathing during the procedure. A: Supine with the head of the bed flat is incorrect because it may not allow adequate drainage of the pleural effusion and increases the risk of complications. C: Prone with arms extended forward is incorrect as it does not promote effective drainage of the fluid and may cause discomfort to the patient. D: Lying on the unaffected side is incorrect as it does not utilize gravity to assist in fluid drainage and may not provide optimal access for the procedure.
Question 4 of 5
A patient with a history of chronic obstructive pulmonary disease (COPD) was hospitalized for increasing shortness of breath and chronic hypoxemia (SaO2 levels of 89% to 90%). In planning for discharge, which action by the nurse will be most effective in improving compliance with discharge teaching?
Correct Answer: A
Rationale: Step 1: Identifying the correct answer - Choice A states the patient's history of no acute asthma attacks, which is relevant for a patient with COPD as it indicates good disease management. Step 2: Rationale - Patients with COPD may also have comorbid asthma, so a lack of asthma attacks suggests good control of both conditions, making the patient more likely to adhere to discharge teachings. Step 3: Summary - Choices B, C, and D are incorrect. B is irrelevant to improving compliance, C refers to spirometry testing technique, not compliance, and D suggests non-adherence to medication, which is detrimental in COPD management. Choice A emphasizes disease control and adherence, making it the most effective in improving compliance.
Question 5 of 5
A nurse is caring for a patient with a history of diabetes. The patient reports feeling shaky. Which intervention should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Check the patient's blood glucose level. This is the first step because the patient's symptoms of feeling shaky could indicate hypoglycemia, a common complication of diabetes. By checking the blood glucose level, the nurse can confirm if the patient's symptoms are due to low blood sugar and then take appropriate action. Administering oral glucose would be the next step if the blood glucose level is low, as it helps raise blood sugar quickly. Administering a corticosteroid injection is not indicated for hypoglycemia and may cause a delay in addressing the immediate issue. Encouraging the patient to exercise is also not appropriate when the patient is experiencing symptoms of low blood sugar, as it could further decrease blood glucose levels.