ATI RN
Fundamentals of Nursing Oxygenation Questions Questions
Question 1 of 5
Which client should the medical unit nurse assess first after receiving shift report?
Correct Answer: A
Rationale: The correct answer is A because the elderly client with pneumonia getting restless may indicate a change in condition or potential complications, requiring immediate assessment. Restlessness can be a sign of decreased oxygenation or sepsis in pneumonia patients. Choice B is incorrect as a headache in a young adult with influenza is not typically an immediate priority compared to potential respiratory distress in the elderly client. Choice C is incorrect as tidaling in the chest drainage system is expected and does not necessarily require immediate assessment unless other signs of distress are present. Choice D is incorrect as green drainage from the nose in a client with a sinus infection may indicate a bacterial infection but is not typically an urgent concern compared to potential acute respiratory compromise in the elderly client with pneumonia.
Question 2 of 5
A client with a tracheostomy is at risk for aspiration. What intervention should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Position the client in high Fowler's position during meals. This helps prevent aspiration by promoting proper swallowing and reducing the risk of food or liquids entering the tracheostomy. Keeping the client NPO (A) is not necessary unless directed by a healthcare provider. Suctioning the tracheostomy frequently (C) can increase the risk of infection and is only done when there is visible secretions. Providing thickened liquids (D) may still pose a risk of aspiration, so positioning is more effective in preventing this complication.
Question 3 of 5
The nurse is caring for a client with acute respiratory distress syndrome (ARDS). Which intervention is most likely to improve oxygenation?
Correct Answer: B
Rationale: The correct answer is B: Positioning the client in the prone position. Placing the client in the prone position helps improve oxygenation in ARDS by optimizing ventilation-perfusion matching, reducing ventilation-perfusion mismatch, and improving lung mechanics. This position allows for better distribution of ventilation to the dorsal lung regions, improving oxygenation. Increasing oxygen flow rate (A) may not address the underlying issue of ventilation-perfusion mismatch. Performing frequent oral suctioning (C) is important for airway clearance but may not directly improve oxygenation. Administering a bronchodilator (D) may help in conditions like asthma but is not typically used in ARDS where the primary issue is not bronchoconstriction.
Question 4 of 5
A nurse is caring for a client receiving high-flow oxygen therapy. Which complication should the nurse monitor for?
Correct Answer: A
Rationale: The correct answer is A: Oxygen toxicity. High-flow oxygen therapy can lead to oxygen toxicity, causing lung damage and respiratory failure. The nurse should monitor for signs such as dyspnea, cough, chest pain, and hypoxemia. Other choices are incorrect because: B: Pulmonary embolism is a complication of blood clots traveling to the lungs, not directly related to high-flow oxygen therapy. C: Carbon dioxide retention is more likely to occur in patients with chronic lung disease and not specifically related to high-flow oxygen therapy. D: Pneumothorax is the accumulation of air in the pleural space, which can happen spontaneously or due to trauma, not directly caused by high-flow oxygen therapy.
Question 5 of 5
The nurse is reviewing discharge instructions for a client with obstructive sleep apnea (OSA). Which statement indicates correct understanding?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Losing weight can reduce excess tissue in the throat, which can improve airway patency and decrease symptoms of obstructive sleep apnea. 2. Weight loss is a non-invasive, long-term solution for managing OSA. 3. The other choices are incorrect because: A is not true as CPAP therapy is typically a lifelong treatment; C can worsen OSA by promoting airway collapse; D is false as CPAP should be used for the entire duration of sleep to effectively manage OSA.