ATI LPN
COPD Patient Care Question Questions
Question 1 of 5
Which action is important when using a mechanical lift to transfer a patient?
Correct Answer: C
Rationale: Ensuring all straps are snug and secure before using a mechanical lift prevents the patient from slipping or falling during transfer, prioritizing safety for both patient and nurse. Rapid lifting risks jolting or equipment failure. Quick lowering can cause injury or instability. Lifting alone defies safety protocols lifts require teamwork or proper setup, not independence. Nurses double-check fastenings and positioning, following device guidelines, to execute smooth, secure transfers, minimizing harm in patients unable to move themselves.
Question 2 of 5
What is the primary purpose of using a bedpan for a patient who cannot get out of bed?
Correct Answer: D
Rationale: A bedpan collects urine and feces for a patient unable to leave bed, maintaining hygiene and preventing soiling, crucial for immobile or post-surgical care. Comfortable sitting isn't its role it's functional, not leisurely. Encouraging activity contradicts its use; it's for immobility. Alignment might be aided by positioning, but collection is the goal. Nurses place it carefully, ensuring privacy and cleanliness, addressing elimination needs safely in confined conditions, a basic yet essential task.
Question 3 of 5
How can a nurse promote oral hygiene for a patient who is on a ventilator?
Correct Answer: B
Rationale: Providing oral care with a swab and appropriate solutions promotes hygiene for a ventilated patient by removing bacteria and secretions, preventing ventilator-associated pneumonia without risking tube displacement. Avoiding care invites infection tubes don't preclude it when done carefully. Drinking water isn't possible; they're intubated. Limiting to awake times ignores constant need unconscious care is standard. Nurses use chlorhexidine or swabs gently, coordinating with respiratory staff, ensuring oral health and systemic safety in critical care.
Question 4 of 5
What is the primary purpose of using a soft-bristle toothbrush for oral care?
Correct Answer: D
Rationale: A soft-bristle toothbrush minimizes gum irritation and damage by cleaning teeth gently, avoiding trauma to sensitive tissues, especially in frail or ill patients. Preventing decay is a benefit, but the focus is gum safety hard bristles harm more. Time-saving isn't its purpose; technique matters over speed. Gum stimulation occurs mildly, but protection trumps it. Nurses choose soft bristles to balance efficacy and gentleness, ensuring oral health without pain or bleeding, a key consideration in patient comfort.
Question 5 of 5
Which of the following is not a common reaction to illness and disability?
Correct Answer: A
Rationale: Sexual function is not a typical emotional or psychological reaction to illness or disability it's a physiological aspect that might be affected, not a response. Denial (refusing to accept a diagnosis), depression (sadness from loss of ability), and anger (frustration at limitations) are well-documented reactions, per models like Kübler-Ross's stages of grief. Health care aides observe these in clients adjusting to conditions, offering empathy or reporting shifts. Mislabeling function as a reaction could confuse care e.g., addressing libido changes requires different support than handling denial making this distinction key for effective, compassionate responses.