ATI RN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
The nurse observes bubbling in the water-seal chamber of a chest tube drainage system. What is the nurse's best action?
Correct Answer: C
Rationale: The correct action is to check the system for air leaks (Option C) because bubbling in the water-seal chamber indicates air is leaking into the system, which can compromise the chest tube's function. By identifying and addressing the air leak, the nurse can ensure proper drainage and prevent complications. Clamping the chest tube (Option A) can lead to tension pneumothorax. Increasing suction (Option B) can worsen the problem. Notifying the healthcare provider (Option D) should be done after checking for air leaks.
Question 2 of 5
Which assessment finding in a patient with pneumonia requires immediate notification of the healthcare provider?
Correct Answer: C
Rationale: The correct answer is C: Oxygen saturation of 85% despite oxygen therapy. This finding indicates severe hypoxemia, which can lead to tissue damage or organ failure. Immediate notification is crucial to address the patient's inadequate oxygenation. Crackles in the lower lung fields (A) are common in pneumonia but don't require immediate notification. A respiratory rate of 24 breaths per minute (B) may indicate respiratory distress but is not as concerning as severe hypoxemia. Productive cough with yellow sputum (D) is a common symptom of pneumonia but doesn't indicate an urgent need for provider notification.
Question 3 of 5
The nurse observes diminished breath sounds on one side of a patient with a chest tube. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Check the chest tube for kinks or obstructions. The priority action is to ensure the chest tube is functioning properly as diminished breath sounds could indicate a blockage or dislodgement. By checking for kinks or obstructions first, the nurse can address the immediate issue and prevent complications. Reassessing after 30 minutes (A) delays necessary intervention. Clamping the tube (C) can lead to a tension pneumothorax. Notifying the healthcare provider (D) is important but not immediate in this situation.
Question 4 of 5
A patient with influenza develops crackles in the lungs. What should the nurse do next?
Correct Answer: B
Rationale: The correct answer is B: Notify the provider of possible pneumonia. Crackles in the lungs in a patient with influenza could indicate pneumonia, which requires prompt treatment. Notifying the provider allows for further assessment and appropriate management. Monitoring vital signs (A) is important but does not address the potential complication of pneumonia. Providing supportive care and hydration (C) is necessary but does not address the urgent need to consider pneumonia. Administering decongestants (D) is not appropriate for treating pneumonia and may not address the underlying cause of crackles in the lungs.
Question 5 of 5
The nurse is caring for a patient with tuberculosis (TB). What instruction should the nurse prioritize?
Correct Answer: C
Rationale: The correct answer is C: Use a tissue to cover your mouth when coughing. This is the priority instruction because TB is spread through respiratory droplets. By covering the mouth when coughing, the patient reduces the risk of spreading the infection to others. Choice A is incorrect because wearing a mask outdoors does not prevent the spread of TB as effectively as covering the mouth when coughing. Choice B is incorrect because stopping medications prematurely can lead to treatment failure and drug resistance. Choice D is incorrect because there is no need to avoid dairy products while on TB treatment unless specifically advised by a healthcare provider.