Correct Answer: B

Rationale: The correct answer is B: Percuss the thorax bilaterally, noting any differences in percussion tones. This is the best action because it allows the nurse to assess for potential underlying issues such as pneumothorax or pleural effusion which could be causing the respiratory distress. Percussion can help identify abnormal air or fluid accumulation in the chest. Choice A is incorrect because simply counting respirations does not provide immediate information on the cause of distress. Choice C is incorrect as inspecting for masses and bleeding does not directly address the urgency of the situation. Choice D is incorrect as waiting for a chest x-ray would delay necessary interventions in a critical situation.

Correct Answer: B

Rationale: The correct answer is B: Respiratory failure. Patients with COPD have impaired lung function, making them at risk for respiratory failure due to inadequate oxygenation. This can occur due to exacerbation of COPD, infections, or other factors. Monitoring for signs of respiratory distress is crucial. A: Pneumonia - While patients with COPD are at higher risk for pneumonia due to impaired lung function, respiratory failure is a more immediate and critical complication to monitor for in this scenario. C: Hypoglycemia - COPD does not directly increase the risk of hypoglycemia, so monitoring for this complication is not a priority in this case. D: Hypertension - Although some patients with COPD may have hypertension, it is not a common complication directly related to COPD. Monitoring for respiratory failure is more essential in this situation.

Correct Answer: B

Rationale: The correct answer is B: Percuss the thorax bilaterally, noting any differences in percussion tones. This is the best action because it allows the nurse to assess for potential underlying issues such as pneumothorax or pleural effusion which could be causing the respiratory distress. Percussion can help identify abnormal air or fluid accumulation in the chest. Choice A is incorrect because simply counting respirations does not provide immediate information on the cause of distress. Choice C is incorrect as inspecting for masses and bleeding does not directly address the urgency of the situation. Choice D is incorrect as waiting for a chest x-ray would delay necessary interventions in a critical situation.

Correct Answer: B

Rationale: The correct answer is B. It is important to know when the patient immigrated and from which country for understanding potential health risks, cultural factors, and access to healthcare. Choice A is too broad and may not yield relevant health information. Choice C focuses on personal reasons for leaving the home country, which may not be medically relevant. Choice D is forward-looking and may not be necessary for the initial assessment.

Correct Answer: A

Rationale: Step 1: New immigrants face many challenges such as language barriers, cultural differences, lack of social support, and limited access to healthcare. Step 2: These factors can negatively impact their health by causing stress, mental health issues, and difficulties in accessing healthcare services. Step 3: Employment and stable housing are important factors for immigrants' health, but they alone may not address the broader issues affecting their well-being. Step 4: Therefore, the correct answer is A, as the health of new immigrants is indeed negatively affected by a combination of contributing factors beyond just employment and housing.