A nurse is caring for a patient with a history of asthma. The patient is complaining of wheezing. What is the priority intervention?

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Question 1 of 5

A nurse is caring for a patient with a history of asthma. The patient is complaining of wheezing. What is the priority intervention?

Correct Answer: A

Rationale: The correct answer is A: Administer albuterol (Ventolin). The priority intervention is to administer albuterol, a fast-acting bronchodilator that helps relieve bronchoconstriction and wheezing in asthma. Albuterol works quickly to open the airways and improve breathing, which is crucial in managing acute asthma symptoms. Oral medications (choice B) may take longer to take effect and are not the first-line treatment for acute wheezing. Nebulized bronchodilators (choice C) are effective but albuterol is preferred for its faster onset of action. Corticosteroids (choice D) are used for long-term asthma management and are not the immediate priority in treating acute wheezing.

Question 2 of 5

A patient admitted to the emergency department complaining of sudden onset shortness of breath is diagnosed with a possible pulmonary embolus. How should the nurse prepare the patient for diagnostic testing to confirm the diagnosis?

Correct Answer: B

Rationale: A CT pulmonary angiography, common for pulmonary embolus, requires IV contrast, so starting an IV is appropriate.

Question 3 of 5

A nurse is caring for a patient who has had a total laryngectomy and radical neck dissection. During the first 24 hours after surgery what is the priority nursing action?

Correct Answer: A

Rationale: Bleeding is a critical postoperative risk; monitoring the incision is the priority in the first 24 hours.

Question 4 of 5

After 2 months of tuberculosis (TB) treatment with isoniazid, rifampin (Rifadin), pyrazinamide, and ethambutol, a patient continues to have positive sputum smears for acid-fast bacilli (AFB). Which action should the nurse take next?

Correct Answer: C

Rationale: Non-adherence is a common reason for persistent positive smears; assessing compliance is the first step before escalating treatment.

Question 5 of 5

The nurse receives change-of-shift report on the following four patients. Which patient should the nurse assess first?

Correct Answer: B

Rationale: Sudden shortness of breath in a bedridden patient suggests a possible pulmonary embolism, a life-threatening emergency requiring immediate assessment.

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