A patient with a history of heart failure is complaining of shortness of breath and chest pain. What is the priority nursing intervention?

Correct Answer: A

Rationale: The correct answer is A: Administer oxygen therapy. In a patient with heart failure experiencing shortness of breath and chest pain, oxygen therapy is crucial to improve oxygenation and relieve symptoms. Administering oxygen helps increase oxygen saturation levels, reducing the workload on the heart. This intervention takes priority as it addresses the immediate need for adequate oxygen supply to vital organs. Administering diuretics (B) may be necessary to address fluid overload in heart failure, but oxygen therapy takes precedence in this scenario. Administering corticosteroids (D) is not indicated for acute heart failure exacerbation. Choice C is a duplicate of the correct answer and does not provide any additional rationale.

Correct Answer: A

Rationale: The correct answer is A: Administer oxygen therapy. In CHF, shortness of breath is often due to inadequate oxygenation. Administering oxygen therapy helps improve oxygen levels, alleviating respiratory distress. Morphine (B) can depress respiratory drive, making the situation worse. Administering pain relief (C) is not the priority when the patient's breathing is compromised. Administering IV fluids (D) can worsen fluid overload in CHF, exacerbating symptoms. Overall, oxygen therapy directly addresses the patient's immediate need for improved oxygenation in CHF.

Correct Answer: A

Rationale: The correct answer is A: Administer aspirin. Aspirin is indicated as a priority action for a patient exhibiting facial drooping, as it may suggest the patient is experiencing a potential stroke. Aspirin helps prevent blood clot formation, which is crucial in ischemic strokes. Immediate administration of aspirin can help reduce the risk of further clot formation and minimize potential brain damage. Administering nitroglycerin (choice B) is not appropriate for stroke management. Short-acting bronchodilators (choice C) are not relevant to the patient's presentation. Administering antibiotics (choice D) is not indicated unless there is a specific infection present.

Correct Answer: D

Rationale: Bilateral basilar crackles suggest pulmonary edema or infection, requiring urgent action in an older patient.

Correct Answer: B

Rationale: Suctioning is within the LPN/LVN scope when directed, unlike assessment or teaching.