ATI RN
Nursing Questions on Oxygenation Questions
Question 1 of 5
A patient with pneumonia has an oxygen saturation of 88% on room air. Which intervention is most important?
Correct Answer: B
Rationale: The correct answer is B: Initiate oxygen therapy at 2 liters per minute via nasal cannula. Oxygen saturation of 88% indicates hypoxemia, requiring immediate intervention to improve oxygenation. Administering oxygen via nasal cannula at 2 liters per minute can help increase oxygen levels and alleviate symptoms. Choice A (Administer prescribed bronchodilators) is incorrect as bronchodilators are not the first-line treatment for hypoxemia in pneumonia. Choice C (Encourage the use of an incentive spirometer every hour) is incorrect as while important for respiratory hygiene, it does not address the immediate need for oxygen therapy in a hypoxemic patient. Choice D (Increase the patient's fluid intake to thin secretions) is incorrect as it addresses secretion management, which is not the priority in this scenario where oxygenation is compromised.
Question 2 of 5
The nurse is teaching a patient about how to manage pleural effusion. Which patient statement indicates understanding?
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct: 1. Pleural effusion can cause shortness of breath. 2. Promptly notifying the healthcare provider about worsening symptoms is crucial. 3. Demonstrates patient understanding of the condition. 4. Enables timely intervention to prevent complications. Summary of why other choices are incorrect: A: Limiting fluid intake may not directly impact pleural effusion. B: Lying flat may not be recommended post-procedure and could worsen symptoms. D: Monitoring every six months is insufficient for a condition that can cause acute symptoms.
Question 3 of 5
Which patient statement about tuberculosis treatment indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B. The patient should continue wearing a mask until the treatment is completed to prevent the spread of tuberculosis. Stopping the mask before completing treatment can lead to transmission of the disease. Choices A, C, and D are correct statements that show understanding of tuberculosis treatment and monitoring.
Question 4 of 5
The nurse is caring for a patient after a bronchoscopy. Which assessment finding requires immediate attention?
Correct Answer: B
Rationale: The correct answer is B because an oxygen saturation of 88% indicates hypoxemia, which is a life-threatening condition requiring immediate intervention to prevent complications. Oxygen saturation should ideally be above 95%. A: Sore throat and hoarseness are common after bronchoscopy and can be managed with comfort measures. C: Mild blood-tinged sputum is expected post-bronchoscopy due to irritation of the airways. D: Drowsiness post-procedure is a common side effect of sedation and should improve over time without immediate intervention.
Question 5 of 5
A patient with tuberculosis is prescribed rifampin. What should the nurse teach the patient?
Correct Answer: C
Rationale: The correct answer is C because rifampin can decrease the effectiveness of hormonal birth control methods. The nurse should educate the patient on the importance of using non-hormonal birth control methods while taking rifampin to prevent unintended pregnancy. A) Reporting orange discoloration of urine is a common side effect of rifampin and does not require immediate medical attention. B) Taking rifampin with food can help reduce gastrointestinal upset but is not the most crucial information to convey. D) Stopping medication once symptoms improve can lead to treatment failure and drug resistance. It is important to complete the full course of antibiotics for tuberculosis treatment.