Normal pulse oximetry readings are considered to be

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Care of Patients with Alzheimers Disease Basic Concept ATI Questions

Question 1 of 5

Normal pulse oximetry readings are considered to be

Correct Answer: D

Rationale: In the context of caring for patients with Alzheimer's Disease, understanding normal pulse oximetry readings is crucial for assessing their respiratory status. The correct answer is option D) From 95% to 100%. A normal pulse oximetry reading indicates adequate oxygenation of the blood, typically falling within the range of 95% to 100%. This range signifies that the patient is effectively oxygenating their tissues, which is essential for overall health and well-being. Option A) From 75% to 85% is incorrect as this range indicates significant hypoxemia, which can lead to tissue damage and impaired organ function. Option B) From 85% to 95% is also incorrect because values below 95% may indicate mild hypoxemia or respiratory compromise. Option C) From 65% to 85% is dangerously low and would typically indicate severe hypoxemia requiring immediate intervention. Educationally, it is important for caregivers and healthcare professionals to accurately interpret pulse oximetry readings to promptly recognize and address any signs of respiratory distress in patients with Alzheimer's Disease. Monitoring oxygen saturation is a vital component of patient assessment and can help prevent complications related to inadequate oxygenation. By understanding normal ranges, healthcare providers can intervene early and provide appropriate care to optimize patient outcomes.

Question 2 of 5

Which nursing assessment will indicate the patient is performing diaphragmatic breathing correctly?

Correct Answer: A

Rationale: In the context of caring for patients with Alzheimer's Disease, understanding and assessing correct diaphragmatic breathing is crucial for promoting optimal respiratory function. Option A is the correct answer because when the hands are placed on the border of the rib cage with fingers extended, they should touch as the chest wall contracts during diaphragmatic breathing. This indicates proper diaphragmatic breathing technique, where the diaphragm contracts downward, allowing the lungs to fill with air efficiently. Option B is incorrect because hands placed on the chest wall should not separate during diaphragmatic breathing; this would indicate shallow chest breathing rather than using the diaphragm effectively. Option C is incorrect as feeling upward movement of the diaphragm during inspiration is not an accurate assessment of diaphragmatic breathing. Option D is incorrect because feeling downward movement of the diaphragm during expiration does not specifically indicate correct diaphragmatic breathing. Educationally, it is important for nurses to understand the principles of diaphragmatic breathing and its benefits for patients with Alzheimer's Disease who may experience respiratory difficulties. Proper technique can help improve oxygenation, reduce respiratory effort, and enhance overall well-being. Nurses need to accurately assess and teach patients diaphragmatic breathing to support their respiratory health and quality of life.

Question 3 of 5

The nurse demonstrates postoperative exercises for a patient. In which order will the nurse instruct the patient to perform the exercises?

Correct Answer: A

Rationale: In the context of caring for patients postoperatively, instructing them in a specific order for exercises is crucial for their safety and optimal recovery. Option A, which suggests starting with leg exercises followed by turning, breathing, and coughing, is the correct sequence for several reasons. Leg exercises help promote circulation and prevent blood clots, which are common postoperatively. Turning helps prevent pressure ulcers and promotes mobility. Breathing exercises aid in expanding lung capacity and preventing respiratory complications. Coughing is important to clear secretions and prevent pneumonia. In contrast, the other options are incorrect because they do not prioritize exercises based on their importance in the postoperative period. For example, starting with breathing or coughing exercises without first promoting circulation through leg exercises could increase the risk of complications like blood clots. Educationally, understanding the rationale behind the order of postoperative exercises helps nurses provide safe and effective care to patients recovering from surgery. It emphasizes the importance of a systematic approach to patient care that considers the individual's needs and promotes optimal outcomes.

Question 4 of 5

Your adult patient has suffered a prolonged cardiac arrest interval and is receiving advanced cardiac life-support interventions. When administering medications intravenously, why should calcium chloride and sodium bicarbonate not be administered through the same IV line?

Correct Answer: A

Rationale: In the context of caring for a patient with Alzheimer's Disease, understanding the principles of medication administration during advanced cardiac life-support interventions is crucial for providing safe and effective care. The correct answer is A) Calcium chloride will precipitate/crystallize when mixed with sodium bicarbonate. This is because when calcium chloride, which is a cation, comes into contact with sodium bicarbonate, which is an anion, they can form a precipitate or crystals that can potentially lead to blockages in the IV line, compromising the delivery of essential medications to the patient. Option B) Calcium chloride will antagonize the effects of sodium bicarbonate is incorrect because these two medications do not directly counteract each other's effects. Option C) Sodium bicarbonate will cause a rebound acidosis when mixed with calcium chloride is incorrect as mixing these two substances does not lead to a rebound acidosis. Option D) Sodium bicarbonate will act as an agonist to the calcium chloride causing hypercalcemia is incorrect as sodium bicarbonate does not act as an agonist to calcium chloride, nor does it cause hypercalcemia. Educationally, it is vital for healthcare professionals to understand the compatibility and incompatibility of medications when administering them intravenously to prevent adverse reactions and ensure the optimal delivery of treatment to patients, especially those in critical conditions like prolonged cardiac arrest intervals. This knowledge helps in maintaining patient safety and promoting successful outcomes in clinical practice.

Question 5 of 5

EMS communication over open airways is normally conducted through two-way radios of varying frequencies and controlled by the FCC. Of the frequency bands listed below, which one is strictly assigned to two-way communication or one-way paging, operating in the simplex mode?

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Very High Frequency (VHF), low and high bands between 32-170 MHz. This frequency band is strictly assigned to two-way communication or one-way paging, operating in the simplex mode. VHF frequencies are commonly used for EMS communication due to their ability to propagate over long distances and penetrate obstacles like buildings and foliage. Option B) Ultra High Frequency (UHF) bands between 450-470 MHz is incorrect because these frequencies are typically used for short-range communications and are not specifically assigned for two-way communication or one-way paging. Option C) Ultra High Frequency (UHF) bands up to 400 MHz is also incorrect as it does not match the specific frequency range assigned for two-way communication or one-way paging in the simplex mode. Option D) Very High Frequency, low band (VHF) between 20-30 MHz is incorrect because this frequency range falls outside the specified range for two-way communication or one-way paging in the simplex mode. Understanding the frequency bands allocated for different types of communication is crucial for healthcare professionals, especially those working in emergency services. Clear communication over the airways is vital in providing timely and effective care to patients, including those with Alzheimer's disease. By knowing the correct frequency bands for communication, EMS personnel can ensure seamless coordination and response in emergency situations.

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