ATI LPN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
The nurse documents that a prescribed expectorant has been effective for a client. What did the nurse evaluate in this client?
Correct Answer: D
Rationale: Expectorants thin mucus facilitating easier expectoration. A productive cough (D) indicates effectiveness as the client can expel secretions. Labored breathing (A) wheezing (B) and high-pitched cough (C) suggest ongoing issues not resolution making D the evaluated finding for expectorant efficacy.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies?
Correct Answer: D
Rationale: Acupuncture. The nurse should inform the client that any skin infection is a contraindication for acupuncture. An open portal in the skin could spread the infection. Feverfew is an alternative therapy that promotes wound healing. Aloe is complementary to wound healing. Biofeedback assists clients with stroke recovery.