ATI RN
Nursing Questions on Oxygenation Questions
Question 1 of 5
Which assessment finding in a patient receiving oxygen therapy is most concerning?
Correct Answer: C
Rationale: The correct answer is C: Lethargy and confusion. This is the most concerning assessment finding in a patient receiving oxygen therapy because it indicates potential oxygen deprivation to the brain, which can lead to serious complications. Lethargy and confusion are signs of hypoxia, which can be life-threatening if not addressed promptly. Respiratory rate of 24 breaths per minute (choice A) may indicate increased effort to breathe but is not as immediately concerning as hypoxia. Oxygen saturation of 92% (choice B) is below the normal range but not critically low. Mild nasal dryness (choice D) is a common side effect of oxygen therapy and does not indicate a serious issue with oxygen delivery.
Question 2 of 5
Which patient statement about tuberculosis treatment indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B. The patient should continue wearing a mask until the treatment is completed to prevent the spread of tuberculosis. Stopping the mask before completing treatment can lead to transmission of the disease. Choices A, C, and D are correct statements that show understanding of tuberculosis treatment and monitoring.
Question 3 of 5
The nurse is caring for a patient after a bronchoscopy. Which assessment finding requires immediate attention?
Correct Answer: B
Rationale: The correct answer is B because an oxygen saturation of 88% indicates hypoxemia, which is a life-threatening condition requiring immediate intervention to prevent complications. Oxygen saturation should ideally be above 95%. A: Sore throat and hoarseness are common after bronchoscopy and can be managed with comfort measures. C: Mild blood-tinged sputum is expected post-bronchoscopy due to irritation of the airways. D: Drowsiness post-procedure is a common side effect of sedation and should improve over time without immediate intervention.
Question 4 of 5
A patient with tuberculosis is prescribed rifampin. What should the nurse teach the patient?
Correct Answer: C
Rationale: The correct answer is C because rifampin can decrease the effectiveness of hormonal birth control methods. The nurse should educate the patient on the importance of using non-hormonal birth control methods while taking rifampin to prevent unintended pregnancy. A) Reporting orange discoloration of urine is a common side effect of rifampin and does not require immediate medical attention. B) Taking rifampin with food can help reduce gastrointestinal upset but is not the most crucial information to convey. D) Stopping medication once symptoms improve can lead to treatment failure and drug resistance. It is important to complete the full course of antibiotics for tuberculosis treatment.
Question 5 of 5
A patient receiving rifampin for tuberculosis reports orange discoloration of urine. What should the nurse do?
Correct Answer: B
Rationale: The correct answer is B: Reassure the patient this is a normal side effect. Rifampin commonly causes orange discoloration of urine, known as rifampin-induced discoloration. This is a harmless and expected side effect due to the drug's mechanism of action. Discontinuing the medication immediately (A) is unnecessary as it does not pose a serious risk. Notifying the healthcare provider immediately (C) is not required for this benign side effect. Assessing for signs of hepatotoxicity (D) is not relevant to the orange discoloration of urine.