ATI RN
Nursing Questions on Oxygenation Questions
Question 1 of 5
The nurse is caring for a patient after a bronchoscopy. Which assessment finding requires immediate attention?
Correct Answer: B
Rationale: The correct answer is B because an oxygen saturation of 88% indicates hypoxemia, which is a life-threatening condition requiring immediate intervention to prevent complications. Oxygen saturation should ideally be above 95%. A: Sore throat and hoarseness are common after bronchoscopy and can be managed with comfort measures. C: Mild blood-tinged sputum is expected post-bronchoscopy due to irritation of the airways. D: Drowsiness post-procedure is a common side effect of sedation and should improve over time without immediate intervention.
Question 2 of 5
A patient receiving rifampin for tuberculosis reports orange discoloration of urine. What should the nurse do?
Correct Answer: B
Rationale: The correct answer is B: Reassure the patient this is a normal side effect. Rifampin commonly causes orange discoloration of urine, known as rifampin-induced discoloration. This is a harmless and expected side effect due to the drug's mechanism of action. Discontinuing the medication immediately (A) is unnecessary as it does not pose a serious risk. Notifying the healthcare provider immediately (C) is not required for this benign side effect. Assessing for signs of hepatotoxicity (D) is not relevant to the orange discoloration of urine.
Question 3 of 5
A patient with COPD is prescribed long-term oxygen therapy. What is the nurse's priority teaching point?
Correct Answer: B
Rationale: The correct answer is B: Do not smoke while using oxygen. Smoking near oxygen can lead to a fire hazard due to the highly flammable nature of oxygen. Smoking should be strictly avoided to prevent any potential accidents. A: Using oxygen continuously is essential for COPD patients, but the priority is to prevent fire hazards by not smoking while using oxygen. C: Increasing the flow rate without healthcare provider guidance can be dangerous and may not address the underlying cause of shortness of breath. D: Removing oxygen during meals is unnecessary and can compromise oxygen delivery, which is crucial for COPD patients.
Question 4 of 5
Which patient statement indicates the need for further teaching about pursed-lip breathing?
Correct Answer: D
Rationale: The correct answer is D because puffing the cheeks while exhaling through pursed lips is not a correct technique for pursed-lip breathing. Pursed-lip breathing involves inhaling through the nose and exhaling slowly through pursed lips, which helps improve breathing efficiency. Option A correctly describes the inhalation and exhalation process. Option B correctly mentions the recommended exhalation duration. Option C correctly suggests practicing pursed-lip breathing during activities.
Question 5 of 5
A patient with COPD is hospitalized for increasing shortness of breath. Which assessment finding requires immediate intervention?
Correct Answer: B
Rationale: The correct answer is B because an oxygen saturation of 85% on room air indicates severe hypoxemia and requires immediate intervention to prevent organ damage. Oxygen therapy is needed to improve oxygenation. Choice A (Barrel-shaped chest) is a common finding in patients with COPD but does not require immediate intervention. Choice C (Increased anterior-posterior chest diameter) is also a common finding in patients with COPD and does not require immediate intervention. Choice D (Productive cough with yellow sputum) is concerning for a respiratory infection but does not indicate an immediate need for intervention to address the hypoxemia.