A nurse is caring for a patient who is receiving chemotherapy. The patient is experiencing alopecia. What is the priority nursing intervention?

Correct Answer: C

Rationale: The correct answer is C: Encourage early ambulation. Chemotherapy patients often experience alopecia as a side effect. Early ambulation helps improve circulation, prevent complications like blood clots, and enhance overall well-being. It is a priority nursing intervention as it promotes physical activity and aids in the patient's recovery. Providing a wig prostheses (choice A) and emotional support (choice B) are important but not the priority when compared to promoting physical activity. Administering a calcium channel blocker (choice D) is irrelevant to addressing alopecia in chemotherapy patients.

Correct Answer: C

Rationale: The correct answer is C: Reassure the patient. In this situation, sudden loss of vision in one eye could be a sign of a transient ischemic attack (TIA) or a retinal artery occlusion, which can be frightening for the patient. The nurse's first priority should be to provide emotional support and reassurance to the patient to alleviate anxiety and stress. Once the patient is calmer, the nurse can then proceed to assess for changes in neurological status, notify the healthcare provider, and monitor vital signs. Reassurance is crucial in ensuring the patient's well-being and promoting effective communication.

Correct Answer: C

Rationale: The correct answer is C: Administer insulin. The priority nursing action for a patient with dysphagia and a history of stroke is to address the potential cause, which could be hyperglycemia leading to diabetic dysphagia. Administering insulin would help control blood sugar levels, which could improve swallowing function. Administering thickened liquids (choice A) may help with dysphagia symptoms, but addressing the underlying cause is crucial. IV fluids (choice B) may not be necessary unless the patient is dehydrated. Administering pain medication (choice D) is not the priority unless pain is identified as the cause of dysphagia.

Correct Answer: B

Rationale: The correct answer is B: Administer IV fluids. The priority intervention for a patient with hypertension experiencing chest pain is to ensure adequate perfusion to vital organs. Administering IV fluids helps improve blood flow, stabilize blood pressure, and support cardiac function. This intervention is crucial in managing chest pain and preventing potential complications. Administering nitroglycerin (choice A) is important for chest pain relief but may cause a drop in blood pressure, which can be risky in patients with hypertension. Administering aspirin (choice C) is important for antiplatelet effects but does not address the immediate need for perfusion. Administering morphine (choice D) is used for pain relief but may mask symptoms and delay necessary interventions.

Correct Answer: D

Rationale: Elevating the head reduces swelling post-rhinoplasty, indicating effective teaching.