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

Dysuria, or painful urination, is a common symptom of acute cystitis (bladder infection). Clients with acute cystitis often report burning sensations during urination and frequent urges to urinate.

Choice B rationale

Nasal congestion is not a symptom associated with acute cystitis. It is more commonly related to respiratory conditions like colds or allergies.

Choice C rationale

Joint pain is not related to acute cystitis. Joint pain can be associated with various musculoskeletal or autoimmune conditions, but not typically with a bladder infection.

Choice D rationale

Shortness of breath is not a symptom of acute cystitis. This symptom is more relevant to respiratory or cardiovascular conditions, not bladder infections.

A. Notify the healthcare provider. B. Assess the client's vital signs and check the telemetry monitor. C. Encourage the client to take deep breaths. D. Administer pain medication immediately.

Correct Answer is B

Explanation

Choice A rationale

Notifying the healthcare provider is necessary, but assessing the client's condition comes first to provide relevant information.

Choice B rationale

Assessing the client's vital signs and telemetry monitor is the first step to determine the cause of chest pain and ensure it is not due to a life-threatening issue such as myocardial infarction.

Choice C rationale

Encouraging the client to take deep breaths can be helpful but is not the first priority. It addresses pain related to breathing but not the underlying cause.

Choice D rationale

Administering pain medication is important, but only after determining the cause of the chest pain and ruling out serious complications.

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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

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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?