A patient who is experiencing an acute asthma attack is admitted to the emergency department.
Which action should the nurse complete first?

Administer a prescribed bronchodilator medication.

Check the patient's vital signs.

Collect a sputum sample for analysis.

Obtain a detailed health history.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Administering a prescribed bronchodilator medication is the priority action for a patient experiencing an acute asthma attack. This helps to open the airways and improve breathing.

Choice B rationale

While checking the patient's vital signs is important, it is not the first action in the acute management of an asthma attack. The immediate priority is to relieve bronchospasm.

Choice C rationale

Collecting a sputum sample for analysis is not the first priority in an acute asthma attack. Stabilizing the patient's breathing is more urgent.

Choice D rationale

Obtaining a detailed health history is essential for comprehensive care but is not the first action during an acute asthma attack. Rapid intervention to improve breathing is the priority.

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Correct Answer is A

Explanation

Choice A rationale

Total parenteral nutrition (TPN) provides essential nutrients intravenously, allowing the bowel to rest and heal, which is important in the management of inflammatory bowel disease (IBD).

Choice B rationale

While reducing inflammation and controlling symptoms are important goals in IBD management, TPN is primarily used to provide nutrition and allow the bowel to rest.

Choice C rationale

Stimulating the bowel is not the purpose of TPN. TPN is used to give the digestive tract a break while ensuring the patient receives necessary nutrients.

Choice D rationale

Preventing malnutrition and promoting weight gain are secondary benefits of TPN, but the primary rationale is to provide nutrients while allowing the bowel to rest and heal.

A. Nasal congestion. B. Dysuria. C. Shortness of breath. D. Joint pain.

Correct Answer is B

Explanation

Choice A rationale

Nasal congestion is not a symptom associated with acute cystitis. Acute cystitis primarily affects the urinary system.

Choice B rationale

Dysuria, which means painful or difficult urination, is a common symptom of acute cystitis, as it involves inflammation of the bladder and urethra.

Choice C rationale

Shortness of breath is not a typical symptom of acute cystitis. Acute cystitis symptoms are localized to the urinary tract.

Choice D rationale

Joint pain is not associated with acute cystitis. The symptoms of acute cystitis are related to the urinary system.

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A patient who is experiencing an acute asthma attack is admitted to the emergency department.Which action should the nurse complete first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a rationale for prescribing total parenteral nutrition (TPN) for a patient with inflammatory bowel disease (IBD)?

Correct Answer is A

Explanation

A 24-year-old female client comes to the ambulatory care center in moderate distress with a probable diagnosis of acute cystitis.Which symptom should the nurse expect the client to report during the assessment?

Correct Answer is B

Explanation

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A patient who is experiencing an acute asthma attack is admitted to the emergency department.
Which action should the nurse complete first?