ATI RN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
The nurse prepares a patient for a thoracentesis. What is the most appropriate action?
Correct Answer: C
Rationale: The most appropriate action is to instruct the patient to remain still during the thoracentesis procedure to minimize the risk of complications such as injury to surrounding tissues. Moving during the procedure can lead to inaccurate placement of the needle and potential damage. Positioning the patient in a semi-Fowler's position (A) is often used for comfort but not crucial for the procedure. Ensuring NPO status (B) is not necessary for thoracentesis. Administering analgesics (D) is not typically done before the procedure unless there is a specific reason.
Question 2 of 5
A patient with a history of chronic obstructive pulmonary disease (COPD) was hospitalized for increasing shortness of breath and chronic hypoxemia (SaO2 levels of 89% to 90%). In planning for discharge, which action by the nurse will be most effective in improving compliance with discharge teaching?
Correct Answer: A
Rationale: Step 1: Identifying the correct answer - Choice A states the patient's history of no acute asthma attacks, which is relevant for a patient with COPD as it indicates good disease management. Step 2: Rationale - Patients with COPD may also have comorbid asthma, so a lack of asthma attacks suggests good control of both conditions, making the patient more likely to adhere to discharge teachings. Step 3: Summary - Choices B, C, and D are incorrect. B is irrelevant to improving compliance, C refers to spirometry testing technique, not compliance, and D suggests non-adherence to medication, which is detrimental in COPD management. Choice A emphasizes disease control and adherence, making it the most effective in improving compliance.
Question 3 of 5
A nurse is caring for a patient with a history of diabetes. The patient reports feeling shaky. Which intervention should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Check the patient's blood glucose level. This is the first step because the patient's symptoms of feeling shaky could indicate hypoglycemia, a common complication of diabetes. By checking the blood glucose level, the nurse can confirm if the patient's symptoms are due to low blood sugar and then take appropriate action. Administering oral glucose would be the next step if the blood glucose level is low, as it helps raise blood sugar quickly. Administering a corticosteroid injection is not indicated for hypoglycemia and may cause a delay in addressing the immediate issue. Encouraging the patient to exercise is also not appropriate when the patient is experiencing symptoms of low blood sugar, as it could further decrease blood glucose levels.
Question 4 of 5
A nurse is caring for a patient receiving chemotherapy. The patient is experiencing nausea. What should the nurse do first?
Correct Answer: B
Rationale: First, corticosteroids help reduce inflammation and can alleviate chemotherapy-induced nausea quickly. Administering antiemetics may not be as effective in this situation. IV fluids may help with hydration but do not directly address nausea. Oral medications may not be effective if the patient is already experiencing nausea. Administering corticosteroids first is the best course of action to promptly address the patient's symptoms.
Question 5 of 5
A nurse is caring for a patient who has had a total knee replacement. The patient is complaining of severe pain. What is the priority intervention?
Correct Answer: D
Rationale: The correct answer is D: Administer an oral anticoagulant. The priority intervention for a patient who has had a total knee replacement and is experiencing severe pain is to administer an oral anticoagulant. This is because after surgery, there is an increased risk of blood clots forming in the legs due to immobility, which can lead to serious complications like pulmonary embolism. Administering an oral anticoagulant helps prevent the formation of blood clots and reduces the risk of these complications. Summary: - Option A (Administer analgesics): While controlling pain is important, in this case, preventing blood clots is the priority. - Option B (Administer antibiotics): Antibiotics are not indicated unless there is an infection present. - Option C (Administer insulin therapy): Insulin therapy is not relevant in this scenario unless the patient has diabetes that requires management.