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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The oral mucosa is the most reliable indicator of central cyanosis because it reflects the oxygenation of central tissues. When there is a lack of oxygen in the bloodstream, the lips and mucous membranes, such as the oral mucosa, appear blue or cyanotic. This is a clear sign that the central tissues are not receiving adequate oxygenation.
Choice B rationale
The sclera of the eye is not a reliable indicator of central cyanosis. The sclera is white and does not change color due to oxygen levels. Instead, it may become yellow in jaundice or red in inflammation but does not reflect central cyanosis.
Choice C rationale
The ear lobes are peripheral areas and do not reliably indicate central cyanosis. Peripheral cyanosis can occur due to local blood flow issues, and ear lobes can appear blue in cold conditions even when central oxygenation is normal.
Choice D rationale
The soles of the feet, similar to the ear lobes, are peripheral areas and not reliable indicators of central cyanosis. Cyanosis in the feet can result from poor peripheral circulation rather than central hypoxia.
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale
Serum creatinine is assessed annually to evaluate kidney function, as diabetes can lead to nephropathy and renal impairment.
Choice B rationale
Urine for microalbuminuria is important to detect early kidney damage, which can occur in diabetic nephropathy.
Choice C rationale
Hearing (audio) exam is not a standard annual test for diabetic complications. Diabetes primarily affects the vascular system, kidneys, and nerves.
Choice D rationale
Chest x-ray is not routinely performed annually for diabetes management. It is used when there are specific indications such as respiratory symptoms.
Choice E rationale
Monofilament testing of the foot is conducted annually to detect diabetic neuropathy and prevent foot ulcers and infections.
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