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

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Question 1 of 5

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

Correct Answer: A

Rationale: The correct answer is A: Administer antiemetic medications. The priority action for a patient experiencing nausea from chemotherapy is to address the symptom directly. Administering antiemetic medications helps alleviate nausea and prevent vomiting, improving the patient's comfort and adherence to treatment. Option B (short-acting bronchodilator) is not relevant to managing nausea. Option C (pain relief) is not the priority when the patient's main symptom is nausea. Option D (platelet aggregation inhibitor) is not indicated for nausea related to chemotherapy. Administering antiemetic medications aligns with the nursing priority of addressing immediate patient needs and promoting comfort during treatment.

Question 2 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 3 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 4 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.

Question 5 of 5

A patient has just been admitted with probable bacterial pneumonia and sepsis. Which order should the nurse implement first?

Correct Answer: B

Rationale: Blood cultures must be obtained before antibiotics to identify the causative organism accurately.

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