ATI RN
Nursing Questions on Oxygenation Questions
Question 1 of 5
While reading a physicians progress notes, a student notes that an assigned patient is having hypoxia. What abnormal assessments would the student expect to find?
Correct Answer: D
Rationale: Hypoxia leads to shortness of breath (dyspnea), increased heart rate (tachycardia), and bluish skin (cyanosis) due to low oxygen levels.
Question 2 of 5
A nurse is providing teaching for a client who has a new prescription for an incentive spirometer. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because using the incentive spirometer every hour while awake helps prevent atelectasis and improve lung function. Using it regularly throughout the day ensures optimal lung expansion and prevents respiratory complications. Choice A is incorrect because the client should inhale, not exhale, into the spirometer to promote deep breathing. Choice C is incorrect as holding the breath can lead to hyperventilation and should be avoided. Choice D is incorrect as using the spirometer only twice per session may not provide enough benefit to prevent respiratory issues.
Question 3 of 5
The nurse is creating a plan of care for an obese patient who is suffering from fatigue related to ineffective breathing. Which intervention best addresses a short-term goal that the patient could achieve?
Correct Answer: C
Rationale: The correct answer is C: Sleeping on two to three pillows at night. This intervention helps elevate the patient's head and upper body, promoting better breathing and reducing the risk of breathing difficulties associated with obesity. Running may be too strenuous for an obese patient with breathing issues. Stopping smoking is important but not directly related to the patient's ineffective breathing. Limiting calories may be beneficial in the long term but does not directly address the immediate issue of ineffective breathing and fatigue.
Question 4 of 5
A nurse is teaching a client about using a peak flow meter. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C because repeating the test three times and recording the highest reading helps ensure accuracy and consistency in monitoring the client's peak flow. This method accounts for any variability in the client's effort or technique. Option A is incorrect as inhaling deeply before using the peak flow meter may affect the accuracy of the reading. Option B is incorrect because performing the test before taking any bronchodilator medication may not reflect the client's actual lung function. Option D is incorrect as exhaling slowly into the device is not the recommended technique for using a peak flow meter accurately.
Question 5 of 5
The nurse is providing discharge instructions to a client with obstructive sleep apnea. Which instruction is most important?
Correct Answer: A
Rationale: The correct answer is A: Use a CPAP machine every night. This is crucial for managing obstructive sleep apnea by ensuring continuous positive airway pressure during sleep, preventing airway collapse. Choice B is not directly related to managing sleep apnea. Choice C is dangerous as sleeping pills can worsen sleep apnea. Choice D may offer temporary relief but does not address the underlying issue of airway obstruction. Using a CPAP machine consistently is the gold standard treatment for obstructive sleep apnea, ensuring adequate airflow and oxygenation during sleep.