ATI RN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
The nurse is reviewing discharge instructions for a client with obstructive sleep apnea (OSA). Which statement indicates correct understanding?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Losing weight can reduce excess tissue in the throat, which can improve airway patency and decrease symptoms of obstructive sleep apnea. 2. Weight loss is a non-invasive, long-term solution for managing OSA. 3. The other choices are incorrect because: A is not true as CPAP therapy is typically a lifelong treatment; C can worsen OSA by promoting airway collapse; D is false as CPAP should be used for the entire duration of sleep to effectively manage OSA.
Question 2 of 5
The nurse is providing discharge teaching to a client with obstructive sleep apnea. Which statement by the client indicates correct understanding?
Correct Answer: B
Rationale: The correct answer is B: Using my CPAP device will help reduce daytime sleepiness. This statement shows understanding that continuous positive airway pressure (CPAP) therapy is essential in managing obstructive sleep apnea and reducing daytime sleepiness. CPAP helps keep the airway open during sleep, improving oxygen levels and quality of sleep. It is a standard treatment for sleep apnea. Summary of incorrect choices: A: Sleeping on the back can actually worsen obstructive sleep apnea by causing the tongue to fall back and obstruct the airway. C: Stopping CPAP therapy abruptly can lead to symptoms returning or worsening. It is typically a lifelong therapy for most individuals with sleep apnea. D: Sleeping fewer hours will not improve sleep apnea symptoms; in fact, it can exacerbate daytime sleepiness and other symptoms.
Question 3 of 5
The RN is instructing the unlicensed assistive personnel (UAP) regarding the care of a male client with COPD. What is the highest priority nursing action to share with the UAP?
Correct Answer: B
Rationale: The correct answer is B: Keep the head of the bed elevated to 45 degrees. This is the highest priority action because it helps improve ventilation and oxygenation in clients with COPD by reducing the work of breathing and preventing respiratory complications. Elevating the head of the bed also helps prevent aspiration and promotes comfort. Choice A is incorrect because while ambulation is important, maintaining proper positioning for respiratory function is the priority in COPD. Choice C is incorrect as it does not address the immediate physiological needs of the client's respiratory status. Choice D is incorrect as it is a general task and not specific to managing COPD symptoms.
Question 4 of 5
The nurse assesses a patient with chronic obstructive pulmonary disease (COPD) who has been admitted with increasing dyspnea over the past 3 days. Which finding is important for the nurse to report to the health care provider?
Correct Answer: A
Rationale: The correct answer is A because an increased respiratory rate of 36 breaths/min in a patient with COPD and worsening dyspnea can indicate respiratory distress or impending respiratory failure. This finding is crucial to report promptly to the healthcare provider for further evaluation and intervention. Choice B is incorrect because an anterior-posterior chest ratio of 1:1 is within normal limits and not directly related to the patient's current respiratory distress. Choice C is incorrect as decreased lung expansion bilaterally can be expected in a patient with COPD and may not necessarily warrant immediate concern unless it is significantly asymmetric or accompanied by other concerning signs. Choice D is incorrect as hyperresonance to percussion may be a typical finding in COPD due to increased lung volumes and is not an immediate priority compared to the elevated respiratory rate.
Question 5 of 5
The nurse assesses a patient with pneumonia who is experiencing pleuritic chest pain. Which action should the nurse take?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Placing the patient in a side-lying position on the affected side helps improve lung expansion and ventilation in the affected area, reducing pleuritic chest pain. 2. This position can also help prevent pooling of secretions and potential complications like atelectasis. 3. Encouraging shallow breaths (Choice A) may worsen the patient's condition by leading to decreased lung expansion. 4. Administering morphine (Choice C) may mask the pain but does not address the underlying cause or promote lung expansion. 5. Incentive spirometry (Choice D) is beneficial for preventing atelectasis but may not provide immediate relief for pleuritic chest pain.