A nurse is caring for a patient with a history of asthma who is experiencing wheezing. What is the priority action?

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Question 1 of 5

A nurse is caring for a patient with a history of asthma who is experiencing wheezing. What is the priority action?

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.

Question 2 of 5

The nurse is caring for a mechanically ventilated patient with a cuffed tracheostomy tube. Which action by the nurse would determine if the cuff has been properly inflated?

Correct Answer: A

Rationale: Measuring cuff pressure with a manometer ensures it's within safe limits to prevent tracheal damage.

Question 3 of 5

A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?

Correct Answer: C

Rationale: A normal WBC count (9000/μL) indicates resolution of infection, a key sign of effective antibiotic treatment.

Question 4 of 5

A patient has just been admitted with probable bacterial pneumonia and sepsis. Which order should the nurse implement first?

Correct Answer: B

Rationale: Blood cultures must be obtained before antibiotics to identify the causative organism accurately.

Question 5 of 5

A patient is scheduled for spirometry. Which action should the nurse take to prepare the patient for this procedure?

Correct Answer: C

Rationale: Bronchodilators can alter spirometry results by improving lung function temporarily. Withholding them for 6-12 hours ensures an accurate baseline measurement of lung capacity.

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