A nurse assesses a patient with newly diagnosed lung cancer. The patient expresses fear about the future. What is the nurse's best response?

Correct Answer: D

Rationale: The correct answer is D because it shows empathy and encourages the patient to express their feelings. By asking the patient to elaborate on their emotions, the nurse can better understand their concerns and provide appropriate support. Choice A is too direct and may not be well-received by the patient. Choice B dismisses the patient's emotional needs. Choice C may provide false reassurance and overlook the patient's current emotional state.

Correct Answer: B

Rationale: The correct answer is B: Administer oxygen. This is the priority intervention because the patient is having difficulty breathing, indicating possible respiratory distress. Administering oxygen will help improve oxygenation and support the patient's respiratory function. Checking vital signs is important but addressing the breathing difficulty takes precedence. Administering pain medication or a sedative is not appropriate without addressing the underlying cause of respiratory distress. Oxygen therapy should be initiated promptly to ensure the patient's safety and well-being.

Correct Answer: C

Rationale: The correct answer is C: Provide sedation. This is the priority intervention for a patient with severe burns to manage pain and anxiety, prevent shock, and facilitate wound care. Sedation helps to reduce the patient's distress and allows for better assessment and treatment. Administering IV fluids (B) is important but not the top priority. Providing pain relief (A) is crucial, but sedation may be more effective for severe burns. Administering an antiemetic (D) is not the priority unless the patient is actively vomiting.

Correct Answer: B

Rationale: The priority intervention in this scenario is to administer a nebulized bronchodilator (Choice B). This is because the patient is showing signs of respiratory distress, indicating a need for immediate bronchodilation to improve airway patency and ventilation. Checking the ventilator settings (Choice A) is important but not the priority when the patient is in distress. Administering bronchodilator therapy (Choice C) is similar to Choice B but is less specific and may not be as immediate. Administering insulin (Choice D) is not relevant in this situation since the patient's respiratory distress is the primary concern.

Correct Answer: A

Rationale: The correct answer is A: Administer IV fluids. Hypotension following surgery can indicate hypovolemia, so the priority is to increase fluid volume to improve perfusion to vital organs. Administering IV fluids will help increase blood pressure and improve circulation. Administering a vasopressor (B) should only be considered if fluid resuscitation is unsuccessful. Elevating the patient's legs (C) may help in some cases, but IV fluids are more critical. Monitoring vital signs (D) is important, but addressing the underlying cause of hypotension is the priority.