A nurse is caring for a patient with a history of myocardial infarction (MI) who is complaining of shortness of breath. What is the priority intervention?

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Oxygenation NCLEX Questions Questions

Question 1 of 5

A nurse is caring for a patient with a history of myocardial infarction (MI) who is complaining of shortness of breath. What is the priority intervention?

Correct Answer: A

Rationale: The correct answer is A: Administer oxygen. In a patient with a history of MI complaining of shortness of breath, the priority is to ensure adequate oxygenation to prevent further cardiac complications. Administering oxygen will help improve oxygen saturation and reduce cardiac workload. Choice B (Administer a short-acting bronchodilator) is incorrect as bronchodilators are not the priority in this case. Choice C (Administer oxygen therapy) is essentially the same as the correct answer, but using the term "oxygen" alone is more specific and appropriate. Choice D (Administer antibiotics) is not indicated for shortness of breath in this context.

Question 2 of 5

The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?

Correct Answer: B

Rationale: Avoiding triggers is the most effective strategy for managing allergic rhinitis.

Question 3 of 5

The nurse assesses the chest of a patient with pneumococcal pneumonia. Which finding would the nurse expect?

Correct Answer: A

Rationale: Pneumococcal pneumonia causes consolidation, increasing tactile fremitus due to enhanced vibration transmission through solid lung tissue.

Question 4 of 5

The nurse administers prescribed therapies for a patient with cor pulmonale and right-sided heart failure. Which assessment could be used to evaluate the effectiveness of the therapies?

Correct Answer: A

Rationale: Reduced neck vein distension indicates improved right heart function, a key goal in treating cor pulmonale.

Question 5 of 5

After change-of-shift report, which patient should the nurse assess first?

Correct Answer: D

Rationale: Tracheal deviation suggests tension pneumothorax, a life-threatening emergency requiring immediate assessment.

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