A patient who is orally intubated and receiving mechanical ventilation is anxious and is fighting the ventilator. Which action should the nurse take next?

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Question 1 of 5

A patient who is orally intubated and receiving mechanical ventilation is anxious and is fighting the ventilator. Which action should the nurse take next?

Correct Answer: A

Rationale: Choice A as coaching reduces anxiety and synchronizes breathing, avoiding sedation risks. Lorazepam (choice B) or propofol (choice D) may be secondary, and manual ventilation (choice C) is unnecessary. This prioritizes physiological integrity per NCLEX, promoting non-invasive solutions in critical care.

Question 2 of 5

The day after a having a right below-the-knee amputation, a patient complains of pain in the right foot. Which action is best for the nurse to take?

Correct Answer: B

Rationale: Choice B as phantom pain, common post-amputation, requires immediate analgesia like other postoperative pain. Explaining (choice A) or predicting relief (choice D) doesn't address current distress, and loosening bandages (choice C) risks bleeding. This aligns with NCLEX Physiological Integrity, prioritizing pain management in acute care.

Question 3 of 5

A patient who arrives at the emergency department experiencing severe left knee pain is diagnosed with a patellar dislocation. The initial patient teaching by the nurse will focus on the need for

Correct Answer: C

Rationale: Choice C as realignment of a patellar dislocation requires anesthesia, the initial focus. Immobilization (choice A), flexion (choice B), and restrictions (choice D) follow. This reflects NCLEX Physiological Integrity, prioritizing procedural preparation in emergency care.

Question 4 of 5

When a patient arrives in the emergency department with a facial fracture, which action will the nurse take first?

Correct Answer: C

Rationale: Choice C as cervical spine stabilization is first due to fracture-associated risks. Bleeding (choice A), ice (choice B), or orientation (choice D) follow. This reflects NCLEX Physiological Integrity, prioritizing spinal safety in trauma.

Question 5 of 5

Which intervention will the nurse include in the plan of care for a patient who has cardiogenic shock?

Correct Answer: B

Rationale: Choice B as frequent breath sound monitoring detects pulmonary congestion, a key cardiogenic shock feature. Temperature (choice A) isn't specific, supine positioning (choice C) worsens dyspnea, and flushing (choice D) isn't typical. This reflects NCLEX Physiological Integrity, prioritizing respiratory assessment in heart failure management.

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