ATI RN
Nursing Fundamentals Oxygenation Questions Questions
Question 1 of 5
Which intervention is most important for a patient with rib fractures to prevent complications?
Correct Answer: C
Rationale: The correct answer is C because administering pain medication before deep breathing helps manage pain during deep breathing exercises, which are essential for preventing atelectasis and pneumonia in patients with rib fractures. Shallow breathing (Choice B) can lead to complications, so it should not be encouraged. Applying a rib binder (Choice A) may restrict chest expansion and hinder deep breathing. Restricting fluid intake (Choice D) is not directly related to preventing complications from rib fractures.
Question 2 of 5
The nurse assesses a patient with a chest tube and notes continuous bubbling in the water-seal chamber. What is the best action?
Correct Answer: B
Rationale: The correct answer is B: Check for loose connections in the tubing. Continuous bubbling in the water-seal chamber indicates an air leak. Checking for loose connections ensures proper functioning of the chest tube drainage system. Clamping the chest tube (choice A) can lead to tension pneumothorax. Replacing the entire system (choice C) is unnecessary and costly. Notifying the healthcare provider (choice D) can be done after checking for loose connections.
Question 3 of 5
Which patient statement indicates a need for further teaching about asthma management?
Correct Answer: A
Rationale: The correct answer is A because using a rescue inhaler before meals is not a recommended practice for asthma management. Rescue inhalers are typically used for immediate relief during asthma attacks, not as a preventive measure before meals. This statement indicates a misunderstanding of how to use the inhaler properly. Choice B is correct as it shows an understanding of avoiding triggers to manage asthma symptoms. Choice C is correct because taking the long-acting inhaler as prescribed is an essential part of asthma management. Choice D is also correct as carrying the inhaler at all times ensures readiness for any asthma exacerbation.
Question 4 of 5
The nurse is educating a patient with chronic bronchitis about using a metered-dose inhaler (MDI). What statement by the patient indicates understanding?
Correct Answer: A
Rationale: Rationale for Correct Answer (A): Shaking the inhaler before each use ensures proper mixing of the medication for consistent dose delivery. This statement indicates understanding of the correct technique for using a metered-dose inhaler. Summary of Incorrect Choices: B: Exhaling forcefully after inhaling the medication is not a recommended step and can reduce medication deposition in the lungs. C: Cleaning the inhaler once a month is not frequent enough, as it should be cleaned regularly to prevent buildup and ensure proper functioning. D: Taking the inhaler right before meals is not a specific instruction related to the correct technique for using a metered-dose inhaler.
Question 5 of 5
An older patient is receiving standard multidrug therapy for tuberculosis (TB). The nurse should notify the health care provider if the patient exhibits which finding?
Correct Answer: B
Rationale: The correct answer is B: Orange-colored sputum. This finding may indicate rifampin-induced discoloration of bodily fluids, a common side effect of TB medication. The healthcare provider should be notified to assess for possible liver toxicity. Yellow-tinged sclera (A) may indicate jaundice but is common with rifampin use. Thickening of the fingernails (C) is not typically associated with TB medication. Difficulty hearing high-pitched voices (D) is unrelated to TB treatment.