ATI LPN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
When administering oxygen therapy, which intervention should the nurse prioritize to ensure the delivery of the prescribed oxygen concentration?
Correct Answer: C
Rationale: Continuous monitoring of the client's oxygen saturation allows the nurse to assess the effectiveness of oxygen therapy and ensure the prescribed oxygen concentration is being delivered. It helps in making timely adjustments to the oxygen therapy to maintain adequate oxygenation.
Question 2 of 5
A nurse plans teaching for a client who has coronary artery disease. Which dietary recommendation is most important?
Correct Answer: A
Rationale: Atherosclerosis is the primary risk factor in the development of coronary artery disease (CAD). Health promotion efforts are aimed at eliminating saturated and trans saturated fatty acids by preparing foods that are baked or broiled in place of frying or stewing in lard and oils.
Question 3 of 5
A nurse administers 12 units lispro insulin at 0700 to a client. Within which time frame must the morning meal be served?
Correct Answer: A
Rationale: The client should consume their meal immediately, but no longer than 15 minutes after receiving this rapid acting insulin. The onset of humalog insulin is 15-30 minutes, peak time is 30 min to 2.5 hours, with a duration of 3-6 hours.
Question 4 of 5
A client who is at 30 weeks of gestation states, 'I may be in labor.' Which findings should the nurse anticipate?
Correct Answer: C
Rationale: Pelvic pressure or heaviness and painful, menstrual-like cramps are a symptom of preterm labor.
Question 5 of 5
The nurse is caring for a patient on a ventilator and reads the order "restrain prn." The nurse considers which factor when caring for this patient? (Select all that apply)
Correct Answer: C
Rationale: Safety restraint devices (SRDs) are used to protect patients but must be applied correctly to avoid harm. SRDs do not inherently decrease anxiety (A) and may increase it if misused. Not all older adults need SRDs at night (B) as this is not a blanket requirement and should be individualized. Allowing maximum freedom of movement (C) is correct to prevent injury and maintain comfort. Tying SRDs to side rails (D) is unsafe as it can cause injury if the rail moves; they should be tied to the bed frame. Ensuring two fingers can fit between the SRD.