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

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Question 1 of 5

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

Correct Answer: C

Rationale: Post-bronchoscopy patients are at risk for complications like bleeding or airway issues, requiring priority assessment.

Question 2 of 5

An hour after a thoracotomy, a patient complains of incisional pain at a level 7 (based on 0 to 10 scale) and has decreased left-sided breath sounds. The pleural drainage system has 100 mL of bloody drainage and a large air leak. Which action should the nurse take?

Correct Answer: B

Rationale: Pain management is priority to improve breathing effort and prevent complications; morphine addresses the severe pain.

Question 3 of 5

A patient has acute bronchitis with a nonproductive cough and wheezes. Which topic should the nurse plan to include in the teaching plan?

Correct Answer: C

Rationale: Cough suppressants may relieve a nonproductive cough, but their use must be balanced to avoid suppressing airway clearance.

Question 4 of 5

The nurse is admitting a patient diagnosed with an acute exacerbation of chronic obstructive pulmonary disease (COPD). How should the nurse determine the appropriate O₂ flow rate?

Correct Answer: B

Rationale: Maintaining O₂ saturation ≥90% balances oxygenation needs while avoiding suppression of respiratory drive in COPD.

Question 5 of 5

Which nursing action for a patient with chronic obstructive pulmonary disease (COPD) could the nurse delegate to experienced unlicensed assistive personnel (UAP)?

Correct Answer: A

Rationale: UAP can perform pulse oximetry; monitoring, teaching, and adjusting O₂ require RN judgment.

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