The nurse notes premature ventricular contractions (PVCs) while suctioning a patient's endotracheal tube. Which action by the nurse is a priority?

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Perioperative Nursing Care NCLEX Questions Questions

Question 1 of 5

The nurse notes premature ventricular contractions (PVCs) while suctioning a patient's endotracheal tube. Which action by the nurse is a priority?

Correct Answer: C

Rationale: Choice C as PVCs during suctioning suggest hypoxemia, requiring immediate cessation and oxygenation. Lowering pressure (choice A) doesn't address hypoxia, documentation (choice B) delays care, and medications (choice D) are unnecessary if hypoxia resolves. This prioritizes physiological integrity per NCLEX, ensuring oxygen delivery in critical care.

Question 2 of 5

Which discharge instruction will the emergency department nurse include for a patient with a sprained ankle?

Correct Answer: C

Rationale: Choice C as elevation reduces swelling and pain, a priority in acute sprain management. Loose gauze (choice A) lacks compression, heat (choice B) is inappropriate initially cold is preferred and motion (choice D) risks worsening injury early on. This reflects NCLEX Physiological Integrity, focusing on minimizing edema and supporting recovery in the first 24-48 hours post-injury.

Question 3 of 5

A patient who has had an open reduction and internal fixation (ORIF) of a hip fracture tells the nurse that he is ready to get out of bed for the first time. Which action should the nurse take?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A patient arrived at the emergency department after tripping over a rug and falling at home. Which finding is most important for the nurse to communicate to the health care provider?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which action will the urgent care nurse take when caring for a patient who has a possible knee meniscus injury?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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