ATI LPN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
The nurse has placed an oropharyngeal airway in a client. What action should the nurse take at this time?
Correct Answer: C
Rationale: An oropharyngeal airway facilitates airflow but can stimulate secretions. Turning the head to the side (C) allows drainage of oral secretions preventing aspiration. Taping (A) is not standard as the airway is temporary. Suctioning (B) may be needed but is not the immediate action. A nasal trumpet (D) is a different device making C the appropriate action to ensure airway patency and safety.
Question 2 of 5
A client has been prescribed both a bronchodilator and a steroid medication that is delivered by inhaler. What information is essential to teach this client in regard to these medications?
Correct Answer: D
Rationale: Bronchodilators and steroid inhalers can be used together with the bronchodilator typically first for immediate relief followed by the steroid for maintenance (A C incorrect). Steroids (B) are not for immediate effects as they reduce inflammation over time. Both medications (D) can increase heart rate a key side effect to monitor making D essential teaching for safety and compliance.
Question 3 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 4 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 5 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.