A nurse is caring for a patient with a history of diabetes who is experiencing blurred vision. What is the priority nursing action?

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Question 1 of 5

A nurse is caring for a patient with a history of diabetes who is experiencing blurred vision. What is the priority nursing action?

Correct Answer: C

Rationale: The correct answer is C: Administer insulin therapy. Blurred vision in a patient with a history of diabetes indicates possible hyperglycemia, requiring immediate insulin therapy to lower blood glucose levels and prevent further complications. Administering insulin is the priority to address the root cause. Monitoring blood glucose levels (A) is important but not the priority over administering insulin therapy. Administering pain medication (B) and a pain reliever (D) are not appropriate actions for blurred vision in a diabetic patient.

Question 2 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 3 of 5

A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient?

Correct Answer: B

Rationale: For a patient with acute shortness of breath, the priority is to quickly gather relevant information about the current episode to guide immediate care, rather than delaying for a full assessment or tests.

Question 4 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 5 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.

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