ATI RN
Nursing Questions on Oxygenation Questions
Question 1 of 5
The nurse develops a teaching plan to help increase activity tolerance at home for an older adult with severe chronic obstructive pulmonary disease (COPD). Which instructions would be appropriate for the nurse to include in the plan of care?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. Walking 15 to 20 minutes a day at least 3 times/week is appropriate for an older adult with severe COPD to gradually improve activity tolerance without overexertion. 2. Regular, moderate exercise can help improve cardiovascular function and lung capacity in COPD patients. 3. Consistent schedule of 3 times/week allows for adequate rest periods in between exercise sessions. Summary: A: Incorrect. Walking 15 to 20 minutes a day is more beneficial than just 3 times/week. B: Incorrect. Limiting exercise to ADLs may not provide enough physical activity to improve activity tolerance. C: Incorrect. Exceeding a pulse rate of 130 beats/minute may be too strenuous for an older adult with severe COPD.
Question 2 of 5
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who is complaining of shortness of breath. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Increase the oxygen flow rate. In COPD patients experiencing shortness of breath, ensuring adequate oxygenation is crucial. Step 1: Assess the patient's oxygen saturation levels. Step 2: If oxygen saturation is low, increasing the oxygen flow rate will help improve oxygenation. Step 3: Monitor the patient's response to the increased oxygen flow rate. Administering a nebulized bronchodilator (B) may also be beneficial but addressing hypoxemia is the priority. Monitoring respiratory status (C) is important but not the immediate action. Administering oxygen therapy (D) is vague and less specific than increasing oxygen flow rate.
Question 3 of 5
A nurse is caring for a patient with chronic heart failure (CHF) who is experiencing shortness of breath. What is the priority nursing intervention?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen therapy. In CHF, shortness of breath is often due to inadequate oxygenation. Administering oxygen therapy helps improve oxygen levels, alleviating respiratory distress. Morphine (B) can depress respiratory drive, making the situation worse. Administering pain relief (C) is not the priority when the patient's breathing is compromised. Administering IV fluids (D) can worsen fluid overload in CHF, exacerbating symptoms. Overall, oxygen therapy directly addresses the patient's immediate need for improved oxygenation in CHF.
Question 4 of 5
A nurse is caring for a patient with a history of stroke. The patient is exhibiting facial drooping. What is the priority action?
Correct Answer: A
Rationale: The correct answer is A: Administer aspirin. Aspirin is indicated as a priority action for a patient exhibiting facial drooping, as it may suggest the patient is experiencing a potential stroke. Aspirin helps prevent blood clot formation, which is crucial in ischemic strokes. Immediate administration of aspirin can help reduce the risk of further clot formation and minimize potential brain damage. Administering nitroglycerin (choice B) is not appropriate for stroke management. Short-acting bronchodilators (choice C) are not relevant to the patient's presentation. Administering antibiotics (choice D) is not indicated unless there is a specific infection present.
Question 5 of 5
Which assessment finding indicates that the nurse should take immediate action for an older patient?
Correct Answer: D
Rationale: Bilateral basilar crackles suggest pulmonary edema or infection, requiring urgent action in an older patient.