A patient who has a history of chronic obstructive pulmonary disease (COPD) was hospitalized for increasing shortness of breath and chronic hypoxemia (SaO2 levels of 89% to 90%). In planning for discharge, which action by the nurse will be most effective in improving compliance with discharge teaching?

Correct Answer: C

Rationale: The correct answer is C because accomplishing patient teaching just before discharge ensures the information is fresh in the patient's mind. This timing maximizes retention and understanding of instructions, increasing compliance post-discharge. Choice A lacks timing specificity. Choice B may not always be feasible, and the caregiver may not be available. Choice D is a duplicate of choice B and does not address the timing issue. Ultimately, timing the teaching just before discharge is the most effective strategy for improving compliance.

Correct Answer: A

Rationale: The correct answer is A: Administer intravenous fluids. In acute pancreatitis, fluid resuscitation is crucial to maintain circulation and prevent hypovolemic shock. It helps support organ perfusion and prevent complications like acute kidney injury. Providing a high-protein diet (B) is contraindicated as the pancreas needs to rest. Administering insulin (C) may be needed for hyperglycemia but is not the priority. Monitoring respiratory status (D) is important, but fluid resuscitation takes precedence to stabilize the patient's condition.

Correct Answer: A

Rationale: The correct answer is A: Administer an inhaler. During an asthma attack, the priority is to open the airways to improve breathing. Administering an inhaler with a bronchodilator medication helps to relax the muscles around the airways, making it easier for the patient to breathe. This intervention addresses the immediate respiratory distress the patient is experiencing. Monitoring oxygen saturation (C) is important but not the priority as administering the inhaler takes precedence in managing the acute respiratory distress. Administering IV epinephrine (B) is not typically recommended as a first-line treatment for asthma attacks. Administering antiemetics (D) is not relevant to managing an asthma attack.

Correct Answer: B

Rationale: The correct answer is B: Administer aspirin. Aspirin helps to reduce clot formation and minimize damage during a myocardial infarction (MI). This intervention is a priority because it can potentially save the patient's life by preventing further complications. Administering oxygen therapy (choice A) is important, but aspirin takes precedence due to its immediate impact on the outcome. Administering analgesics (choice C) can be considered after aspirin administration to address pain. Monitoring vital signs (choice D) is essential, but providing aspirin should be the initial priority to address the underlying cause of the MI.

Correct Answer: B

Rationale: The correct answer is B: Administer glucagon. Glucagon is the hormone that raises blood glucose levels quickly in cases of hypoglycemia, which can cause dizziness and weakness in diabetic patients. Administering oral glucose (choice A) may take longer to raise blood sugar levels. Administering insulin (choices C and D) would lower blood glucose levels further, worsening the patient's symptoms. The priority is to quickly raise blood sugar levels to prevent further complications.