Practice Question
A nurse is caring for a patient admitted with a lower respiratory infection. After assisting the patient to bed and applying the prescribed oxygen, which finding would help the nurse evaluate the effectiveness of the nursing care?
Answer Choices:
Correct Answer:
Respiratory rate is 20 breaths/min
Rationale:
🟣 A normal respiratory rate (12–20 breaths/min) indicates improved ventilation and oxygenation after oxygen therapy.
🟣 Blood pressure and pulse are supportive, but not primary markers of respiratory status.
🟣 A high pain level may increase respiratory rate, but does not reflect effectiveness of oxygen therapy.
🟣 Assessing respiratory function is the most direct measure of care for lower respiratory infections.
🟣 Effective oxygenation is key in respiratory illness management.
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This question is from ATI LPN Medsurg Exam 1 which contains 58 questions.
More Questions from This Exam
Which of the following conditions could potentially lead to a gastrointestinal bleed? (Select all that apply.)
Answer Choices:
A. Pancreatitis
B. Peptic ulcer disease
C. Inflammatory bowel disease
D. Gastrointestinal malignancy
E. Diverticulosis
F. Gallbladder disease
G. Hypothyroidism
A nurse is helping a postoperative patient following a total hip arthroplasty into a supine position. Which of the following actions is appropriate to prevent hip dislocation?
Answer Choices:
A. Place a wedge pillow between the legs.
B. Place a footboard on the bed.
C. Place a sandbag to the lateral calf.
D. Place a trochanter roll against the thigh.
A nurse is collecting data from a client who has peptic ulcer disease. Which of the following findings is a manifestation of gastrointestinal perforation?
Answer Choices:
A. Severe upper abdominal pain
B. Report of epigastric fullness
C. Hyperactive bowel sounds
D. Bradycardia
A nurse is caring for a client who is to maintain a fluid restriction of 1,200 mL/24 hr. How many mL of fluids can the client have over the next 20 hr if the client had a total fluid intake of 300 mL during the first 4 hr of the shift?
Answer Choices:
A. 900 mL
B. 800 mL
C. 700 mL
D. 600 mL
A nurse is reinforcing discharge teaching with a client who has pulmonary edema and is about to start taking furosemide.Which of the following instructions should the nurse include?
Answer Choices:
A. Eat foods that contain plenty of potassium.
B. Take the medication at bedtime.
C. Take aspirin for headaches.
D. Expect some swelling in the hands and feet.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4
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