ATI RN
Nursing Questions on Oxygenation Questions
Question 1 of 5
The nurse is teaching a patient about how to manage pleural effusion. Which patient statement indicates understanding?
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct: 1. Pleural effusion can cause shortness of breath. 2. Promptly notifying the healthcare provider about worsening symptoms is crucial. 3. Demonstrates patient understanding of the condition. 4. Enables timely intervention to prevent complications. Summary of why other choices are incorrect: A: Limiting fluid intake may not directly impact pleural effusion. B: Lying flat may not be recommended post-procedure and could worsen symptoms. D: Monitoring every six months is insufficient for a condition that can cause acute symptoms.
Question 2 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 3 of 5
A patient with tuberculosis is prescribed rifampin. What should the nurse teach the patient?
Correct Answer: C
Rationale: The correct answer is C because rifampin can decrease the effectiveness of hormonal birth control methods. The nurse should educate the patient on the importance of using non-hormonal birth control methods while taking rifampin to prevent unintended pregnancy. A) Reporting orange discoloration of urine is a common side effect of rifampin and does not require immediate medical attention. B) Taking rifampin with food can help reduce gastrointestinal upset but is not the most crucial information to convey. D) Stopping medication once symptoms improve can lead to treatment failure and drug resistance. It is important to complete the full course of antibiotics for tuberculosis treatment.
Question 4 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 5 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.