ATI RN
Oxygenation NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse receives a change-of-shift report on the following patients with chronic obstructive pulmonary disease (COPD). Which patient should the nurse assess first?
Correct Answer: B
Rationale: A respiratory rate of 38 indicates severe distress, requiring immediate assessment.
Question 2 of 5
What should alert the nurse to assess for aspiration in an older patient with nasal packing?
Correct Answer: A
Rationale: Older patients with nasal packing are at risk of aspiration or airway obstruction. An O2 saturation of 89% should alert the nurse to further assess for these complications.
Question 3 of 5
What should the nurse do first for a patient with pain after thoracotomy?
Correct Answer: B
Rationale: Treat the pain. The patient is unlikely to take deep breaths or cough until the pain level is lower. A chest tube output of 100 mL is not unusual in the first hour after thoracotomy.
Question 4 of 5
A patient reporting pleuritic pain after surgery requires what initial action?
Correct Answer: A
Rationale: The patient's statement indicates that pleurisy or a pleural effusion may have developed and the nurse will need to listen for a pleural friction rub and decreased breath sounds.
Question 5 of 5
How should the O2 flow rate be determined for a COPD patient?
Correct Answer: B
Rationale: The best way to determine the appropriate O2 flow rate is by monitoring the patient's oxygenation either by arterial blood gases (ABGs) or pulse oximetry. An O2 saturation of 90% indicates adequate blood O2 level without the danger of suppressing the respiratory drive.