A nurse is caring for a patient with a history of stroke. The patient is exhibiting slurred speech and facial drooping. What is the priority intervention?

Correct Answer: C

Rationale: The correct answer is C: Administer IV fluids. In a patient with stroke symptoms like slurred speech and facial drooping, maintaining adequate hydration is crucial to prevent complications. IV fluids help ensure proper blood flow to the brain, which is essential in stroke management. Administering a corticosteroid (choice A) is not the priority in this acute situation. Pain medications (choice B) may not address the underlying issue of stroke and should not be the primary intervention. IV pain management (choice D) is not necessary unless pain is a significant symptom, which is not the case in this scenario. Administering IV fluids is the most appropriate intervention to support the patient's overall condition and neurological function.

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.

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.

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.

Correct Answer: D

Rationale: The correct answer is D: Auscultate anterior and posterior breath sounds bilaterally. Auscultating breath sounds is the appropriate next step when absent fremitus is noted during palpation. This action allows the nurse to further assess the patient's respiratory status and gather more information about potential underlying issues such as consolidation or obstruction. Option A is incorrect because palpating the anterior chest to observe for barrel chest is not the priority when absent fremitus is detected. Option B, encouraging the patient to turn, cough, and deep breathe, is also not the most appropriate immediate action when there are findings indicating potential respiratory issues. Option C, reviewing the chest x-ray report for evidence of pneumonia, is premature without further assessment through auscultation. In an educational context, understanding the significance of different assessment findings is crucial for nurses to make informed decisions about patient care. By prioritizing actions based on assessment data, nurses can provide timely and effective interventions to address patient needs and promote optimal health outcomes. This question highlights the importance of systematic assessment and critical thinking in nursing practice, especially in the context of respiratory health and oxygenation.