A patient who is receiving oxygen therapy is becoming increasingly agitated. What should the nurse do first?

Correct Answer: B

Rationale: The correct answer is B: Assess for signs of hypoxia. When a patient on oxygen therapy becomes agitated, it may indicate hypoxia. Assessing for signs of hypoxia is the priority to ensure the patient's safety and well-being. Other choices are incorrect as notifying the health care provider, reassuring the patient, or assessing blood pressure should come after assessing for hypoxia to address the immediate concern.

Correct Answer: C

Rationale: The correct answer is C: Administer IV fluids. In a patient with stroke symptoms like slurred speech and facial drooping, maintaining adequate hydration is crucial to prevent complications. IV fluids help ensure proper blood flow to the brain, which is essential in stroke management. Administering a corticosteroid (choice A) is not the priority in this acute situation. Pain medications (choice B) may not address the underlying issue of stroke and should not be the primary intervention. IV pain management (choice D) is not necessary unless pain is a significant symptom, which is not the case in this scenario. Administering IV fluids is the most appropriate intervention to support the patient's overall condition and neurological function.

Correct Answer: A

Rationale: The correct answer is A: Administer antiemetics. This is the priority intervention because nausea and vomiting can lead to complications such as dehydration and electrolyte imbalances postoperatively. Administering antiemetics helps to alleviate the symptoms and prevent further issues. Increasing fluid intake (B) is important but not the priority when the patient is actively experiencing nausea and vomiting. Monitoring respiratory status (C) and encouraging deep breathing (D) are important for overall postoperative care but do not directly address the immediate issue of nausea and vomiting.

Correct Answer: D

Rationale: The correct answer is D: Administer an antiemetic. This is the priority intervention because antiemetics help control nausea and vomiting, which are common side effects of chemotherapy. By addressing the symptoms promptly, the patient's comfort and quality of life can be improved. Administering IV fluids (choice B) may be necessary to prevent dehydration, but addressing the nausea and vomiting is the priority. Administering antibiotics (choice C) is not indicated unless there is a specific infection that requires treatment. Administering antiemetic medications (choice A) is redundant since the patient is already experiencing nausea and vomiting and needs immediate relief.

Correct Answer: A

Rationale: The correct answer is A: Administer antiemetic medications. The priority action for a patient experiencing nausea from chemotherapy is to address the symptom directly. Administering antiemetic medications helps alleviate nausea and prevent vomiting, improving the patient's comfort and adherence to treatment. Option B (short-acting bronchodilator) is not relevant to managing nausea. Option C (pain relief) is not the priority when the patient's main symptom is nausea. Option D (platelet aggregation inhibitor) is not indicated for nausea related to chemotherapy. Administering antiemetic medications aligns with the nursing priority of addressing immediate patient needs and promoting comfort during treatment.