ATI LPN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
An older client is prescribed diazepam (Valium). What should the nurse monitor in this client?
Correct Answer: A
Rationale: Diazepam a benzodiazepine can depress the respiratory center especially in older adults increasing risk of respiratory depression (A). Monitoring respirations is critical for safety. Urine output (B) muscle tone (C) and appetite (D) are not primarily affected by diazepam making A the essential parameter to monitor.
Question 2 of 5
Before administering the prescribed medication propranolol (Inderal) to a client,the nurse contacts the health care provider to question the order. What health problems did the client have that caused the nurse to question the medication order?
Correct Answer: A
Rationale: Propranolol a non-selective beta-blocker can constrict airways by blocking beta-2 receptors exacerbating COPD (A) and asthma (B) requiring caution. Arthritis (C) and gastritis (D) are not directly affected. Heart failure (E not listed) may also be a concern but is not listed making A and B the health problems prompting the nurse to question the order.
Question 3 of 5
A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of the following tasks should the nurse assign to an assistive personnel? Select ONE that does not apply
Correct Answer: C
Rationale: These are within the AP's range of function; all others require a nurse.
Question 4 of 5
A nurse is planning strategies to manage time effectively for client care. Which of the following strategies should the nurse implement?
Correct Answer: C
Rationale: Use the planning step of the nursing process to prioritize client care delivery. The nurse should complete tasks for one patient before beginning another client. Documentation should be done timely throughout care, and controlling interruptions is a time management principle.
Question 5 of 5
A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turn the client every 2 hr. Turning the client at least once every 2 hrs will break up the secretions in the client's lungs and prevent noisy respirations. Antiemetics are for nausea and vomiting, to keep mouth moist provide frequent oral care, keeping it cool will decrease client's air hunger and increase comfort.