A patient came to the walk-in clinic with extremely labored breathing and a history of asthma that is unresponsive to prescribed inhalers or medications. What would you do first?
Call 911 and report that the patient has probable status asthmaticus.
Obtain the equipment and prepare the patient for intubation.
Establish IV access to give emergency medication.
Place the patient in a high Fowler's position and start oxygen therapy.
The Correct Answer is D
A. While status asthmaticus is a severe, life-threatening asthma exacerbation, the first step is to stabilize the patient by improving oxygenation and relieving airway obstruction, not immediately calling 911 unless the situation worsens.
B. Intubation is not the first step unless the patient's respiratory status continues to deteriorate despite initial interventions. The focus should be on improving oxygenation and managing the airway.
C. Establishing IV access and administering emergency medications, such as corticosteroids or bronchodilators, may be necessary, but the first priority is to improve the patient's breathing and oxygenation.
D. Placing the patient in a high Fowler's position helps to open the airways and facilitate breathing. Starting oxygen therapy is essential to support oxygenation in a patient with labored breathing. This should be the first intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. When performing hand hygiene, the hands should be held lower than the elbows to allow water to flow downward, preventing the contamination of the forearms.
B. The water temperature should be warm, but not hot, to prevent skin irritation. Extremely hot water is not necessary for effective hand hygiene.
C. Hands and arms should be rubbed together to create friction during hand washing. However, drying should be done with a clean paper towel or air dryer, not by rubbing the hands and arms together.
D. The correct amount of liquid soap for hand hygiene is typically 4 to 5 mL. This is the appropriate amount to ensure effective coverage and cleaning of the hands.
Correct Answer is B
Explanation
A. Obesity is a common symptom of Cushing syndrome but is not the primary diagnostic criterion. Other tests are needed to confirm the diagnosis.
B. A 24-hour urine collection for cortisol is one of the most common and reliable methods for diagnosing Cushing syndrome. Elevated cortisol levels in the urine are indicative of the syndrome.
C. Chronic renal failure is not related to the diagnosis of Cushing syndrome. While Cushing syndrome may affect renal function, it is not the primary diagnostic tool.
D. Alcoholism can cause symptoms similar to those of Cushing syndrome, but it is not used as a diagnostic criterion. The diagnosis of Cushing syndrome requires specific tests, such as urine cortisol measurement.
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