A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient?

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Question 1 of 5

A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient?

Correct Answer: B

Rationale: For a patient with acute shortness of breath, the priority is to quickly gather relevant information about the current episode to guide immediate care, rather than delaying for a full assessment or tests.

Question 2 of 5

The nurse assesses the chest of a patient with pneumococcal pneumonia. Which finding would the nurse expect?

Correct Answer: A

Rationale: Pneumococcal pneumonia causes consolidation, increasing tactile fremitus due to enhanced vibration transmission through solid lung tissue.

Question 3 of 5

The nurse administers prescribed therapies for a patient with cor pulmonale and right-sided heart failure. Which assessment could be used to evaluate the effectiveness of the therapies?

Correct Answer: A

Rationale: Reduced neck vein distension indicates improved right heart function, a key goal in treating cor pulmonale.

Question 4 of 5

After change-of-shift report, which patient should the nurse assess first?

Correct Answer: D

Rationale: Tracheal deviation suggests tension pneumothorax, a life-threatening emergency requiring immediate assessment.

Question 5 of 5

A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would support the patient's ventilation?

Correct Answer: B

Rationale: Leaning forward opens the chest, improving ventilation in COPD patients with air trapping.

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