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