A nurse is caring for a patient receiving chemotherapy. The patient is experiencing nausea. What should the nurse do first?

Correct Answer: B

Rationale: First, corticosteroids help reduce inflammation and can alleviate chemotherapy-induced nausea quickly. Administering antiemetics may not be as effective in this situation. IV fluids may help with hydration but do not directly address nausea. Oral medications may not be effective if the patient is already experiencing nausea. Administering corticosteroids first is the best course of action to promptly address the patient's symptoms.

Correct Answer: C

Rationale: The correct answer is C: Reposition the patient to prevent aspiration. Aspiration is a serious risk for stroke patients, especially those with difficulty swallowing. Repositioning the patient can help prevent aspiration pneumonia. Performing a swallowing assessment (choice A) is important but repositioning for safety takes precedence. Physical therapy (choice B) is important but not the priority in this situation. Administering a short-acting beta-agonist (choice D) is not relevant to the immediate safety concern of preventing aspiration.

Correct Answer: A

Rationale: The correct answer is A: Assess the patient's neurological status. This is the first step to determine the patient's current condition, severity of the stroke, and any potential complications. The nurse needs to assess for any changes in neurological status, such as speech difficulties or weakness in limbs, to determine the appropriate course of action. Administering a vasopressor (B) could potentially worsen the patient's condition if not indicated. Administering IV morphine (C) or steroids (D) would not address the immediate need to assess the neurological status and may delay necessary interventions.

Correct Answer: D

Rationale: The correct answer is D: Administer IV morphine. In CKD, pain management is crucial due to complications like uremic neuropathy. Morphine is a common analgesic used in CKD patients. Administering diuretics (A) can worsen kidney function. Administering IV fluids (B) may further stress the kidneys. Administering corticosteroids (C) can exacerbate fluid retention and electrolyte imbalances in CKD patients.

Correct Answer: B

Rationale: The correct answer is B: Administer corticosteroids. Blurred vision in a diabetic patient may indicate diabetic retinopathy, which can lead to vision loss. Administering corticosteroids can help reduce inflammation and prevent further damage to the eyes. Monitoring blood glucose levels (choices A and C) is important but not the priority in this case. Administering oral antihypertensive (choice D) is not indicated for blurred vision in a diabetic patient.