NCLEX RN Prioritization Questions - Nurselytic

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NCLEX RN Prioritization Questions Questions

Extract:


Question 1 of 5

When assessing the respiratory system of an older patient, which finding indicates that the nurse should take immediate action?

Correct Answer: D

Rationale: Bilateral crackles at lung bases indicate a potential acute issue like heart failure. Immediate action is necessary in this situation. The nurse should conduct further assessments such as oxygen saturation and inform the healthcare provider promptly. A barrel-shaped chest and hyperresonance to percussion are typical signs of aging and do not require immediate action. A weak cough effort is common in older patients due to age-related changes, and dry mucous membranes are also expected in older individuals. While these findings may warrant further evaluation, they do not demand immediate action like bilateral crackles at lung bases.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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