a man has been admitted to the hospital unit with a medical diagnosis of copd he is receiving supplemental oxygen at 2 lmin via nasal cannula which po

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A man has been admitted to the hospital unit with a medical diagnosis of COPD. He is receiving supplemental oxygen at 2 L/min via nasal cannula. Which positioning technique will best assist him with his breathing?

A. Prone position
B. Sim's position
C. Lateral position
D. Fowler's position

Correct answer: D

Rationale:

2. The nurse has documented the following wound assessment. "Shallow, open, reddened ulcer with no slough on the anterior region of the right heel?"? what stage is the wound?

A. Stage 3
B. Stage 4
C. Stage 1
D. Stage 2

Correct answer: D

Rationale:

3. The provider orders the client to be placed in a high-Fowler's position. At what angle will the nurse position the client?

A. 15 degrees
B. 0 degrees
C. 90 degrees
D. 30 degrees

Correct answer: C

Rationale: The correct answer is C: 90 degrees. In a high-Fowler's position, the client's head of the bed is raised to a 90-degree angle. This positioning helps improve breathing and facilitates eating and talking. Choice A, 15 degrees, is incorrect as it is not high enough to be considered a high-Fowler's position. Choice B, 0 degrees, is incorrect as it represents a flat or supine position. Choice D, 30 degrees, is also incorrect as it does not meet the criteria for a high-Fowler's position.

4. What is one of the earliest signs of fat embolism syndrome?

A. Paresthesia
B. Severe pain in the affected limb unrelieved by medication
C. Edema
D. Hypoxemia

Correct answer: D

Rationale: Hypoxemia is one of the earliest signs of fat embolism syndrome. In fat embolism syndrome, fat globules enter the bloodstream and can obstruct blood flow in the lungs, leading to hypoxemia. Paresthesia, severe pain unrelieved by medication, and edema are not typically among the earliest signs of fat embolism syndrome.