A nurse is caring for a patient who has had a total knee replacement. The patient is complaining of severe pain. What is the priority intervention?

Correct Answer: D

Rationale: The correct answer is D: Administer an oral anticoagulant. The priority intervention for a patient who has had a total knee replacement and is experiencing severe pain is to administer an oral anticoagulant. This is because after surgery, there is an increased risk of blood clots forming in the legs due to immobility, which can lead to serious complications like pulmonary embolism. Administering an oral anticoagulant helps prevent the formation of blood clots and reduces the risk of these complications. Summary: - Option A (Administer analgesics): While controlling pain is important, in this case, preventing blood clots is the priority. - Option B (Administer antibiotics): Antibiotics are not indicated unless there is an infection present. - Option C (Administer insulin therapy): Insulin therapy is not relevant in this scenario unless the patient has diabetes that requires management.

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.

Correct Answer: C

Rationale: Post-bronchoscopy, the patient must remain NPO until the gag reflex returns to prevent aspiration due to local anesthesia.