ATI RN
Nursing Questions on Oxygenation Questions
Question 1 of 5
The nurse is creating a plan of care for an obese patient who is suffering from fatigue related to ineffective breathing. Which intervention best addresses a short-term goal that the patient could achieve?
Correct Answer: C
Rationale: The correct answer is C: Sleeping on two to three pillows at night. This intervention helps elevate the patient's head and upper body, promoting better breathing and reducing the risk of breathing difficulties associated with obesity. Running may be too strenuous for an obese patient with breathing issues. Stopping smoking is important but not directly related to the patient's ineffective breathing. Limiting calories may be beneficial in the long term but does not directly address the immediate issue of ineffective breathing and fatigue.
Question 2 of 5
The nurse is providing discharge instructions to a client with obstructive sleep apnea. Which instruction is most important?
Correct Answer: A
Rationale: The correct answer is A: Use a CPAP machine every night. This is crucial for managing obstructive sleep apnea by ensuring continuous positive airway pressure during sleep, preventing airway collapse. Choice B is not directly related to managing sleep apnea. Choice C is dangerous as sleeping pills can worsen sleep apnea. Choice D may offer temporary relief but does not address the underlying issue of airway obstruction. Using a CPAP machine consistently is the gold standard treatment for obstructive sleep apnea, ensuring adequate airflow and oxygenation during sleep.
Question 3 of 5
The nurse is caring for a client with pulmonary embolism (PE). Which clinical sign is most concerning?
Correct Answer: D
Rationale: The correct answer is D because a low oxygen saturation level of 85% indicates poor oxygen exchange in the lungs, which can be life-threatening in a PE. Step 1: Oxygen saturation is a direct measure of how well the lungs are oxygenating the blood, making it a critical parameter in PE. Step 2: A low oxygen saturation level can lead to tissue hypoxia and organ dysfunction. Step 3: Prompt intervention is necessary to improve oxygenation and prevent further complications. Choices A, B, and C are important but not as immediately concerning as a low oxygen saturation level in a client with PE.
Question 4 of 5
A client is being evaluated for chronic bronchitis. Which symptom is most indicative of this condition?
Correct Answer: C
Rationale: Correct Answer: C - Chronic productive cough Rationale: 1. Chronic bronchitis is characterized by long-standing inflammation of the bronchial tubes leading to excessive mucus production. 2. A chronic productive cough, which lasts for at least 3 months in 2 consecutive years, is a hallmark symptom of chronic bronchitis. 3. Frequent respiratory infections (A) may occur but are not specific to chronic bronchitis. 4. A barrel-shaped chest (B) is seen in advanced stages of COPD, not specific to chronic bronchitis. 5. Wheezing and dyspnea (D) are more commonly associated with asthma or COPD, not specific to chronic bronchitis.
Question 5 of 5
The nurse is caring for a client with a newly inserted chest tube. Which observation would require immediate intervention?
Correct Answer: B
Rationale: The correct answer is B because a chest tube dressing saturated with blood indicates active bleeding, which can lead to complications like hemorrhage or tension pneumothorax. Immediate intervention is needed to prevent further issues. A: Serosanguinous drainage is expected initially after chest tube insertion. C: Intermittent bubbling in the water seal chamber is normal and indicates proper functioning. D: Chest tube secured with tape and sutures is appropriate for stabilization.