A nurse is caring for a patient who is receiving chemotherapy and is experiencing nausea and vomiting. What is the priority intervention?

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Question 1 of 5

A nurse is caring for a patient who is receiving chemotherapy and is experiencing nausea and vomiting. What is the priority intervention?

Correct Answer: D

Rationale: The correct answer is D: Administer an antiemetic. This is the priority intervention because antiemetics help control nausea and vomiting, which are common side effects of chemotherapy. By addressing the symptoms promptly, the patient's comfort and quality of life can be improved. Administering IV fluids (choice B) may be necessary to prevent dehydration, but addressing the nausea and vomiting is the priority. Administering antibiotics (choice C) is not indicated unless there is a specific infection that requires treatment. Administering antiemetic medications (choice A) is redundant since the patient is already experiencing nausea and vomiting and needs immediate relief.

Question 2 of 5

A nurse is caring for a patient with a history of asthma who is experiencing wheezing. What is the priority action?

Correct Answer: C

Rationale: The correct answer is C: Administer insulin therapy. The priority action in this scenario is to address the patient's wheezing due to asthma. Administering insulin therapy would be incorrect as it is not relevant to the patient's current condition. Administering insulin for elevated blood glucose levels would also be incorrect as the patient's primary issue is wheezing, not high blood sugar. Administering pain medication is not the priority as it does not address the underlying cause of wheezing in a patient with asthma. Therefore, the priority action is to provide appropriate asthma treatment to alleviate the wheezing and ensure the patient's respiratory status is stabilized.

Question 3 of 5

The nurse palpates the posterior chest while the patient says '99' and notes absent fremitus. Which action should the nurse take next?

Correct Answer: D

Rationale: Absent fremitus suggests an obstruction or consolidation; auscultating breath sounds next helps determine the underlying cause.

Question 4 of 5

The nurse is caring for a mechanically ventilated patient with a cuffed tracheostomy tube. Which action by the nurse would determine if the cuff has been properly inflated?

Correct Answer: A

Rationale: Measuring cuff pressure with a manometer ensures it's within safe limits to prevent tracheal damage.

Question 5 of 5

A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?

Correct Answer: C

Rationale: A normal WBC count (9000/μL) indicates resolution of infection, a key sign of effective antibiotic treatment.

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