After change of shift, the nurse has the following patients on her assignment. Which one should she see first?
A 50-year-old with COPD and a Spo2 of 90%
A 72-year-old with pneumonia who needs his antibiotic
A 37-year-old with asthma who reported that he is still having shortness of breath after using his inhaler
A68-year-old on a CPAP who needs a sputum specimen sent to the lab
The Correct Answer is C
C. Persistent shortness of breath after using an inhaler could indicate an inadequate response to treatment or worsening asthma exacerbation. The nurse should therefore see this patient first.
A. In COPD patients pulse oximetry oxygen saturations of more than 90% are acceptable. In the treatment of exacerbations of chronic obstructive pulmonary disease (COPD), oxygen should be titrated to achieve a target oxygen saturation range of 88-92%. This results in a greater than twofold reduction in mortality, compared with the routine administration of high-concentration oxygen therapy.
B. Administering antibiotics can be prioritized, but it may not require immediate attention compared to addressing acute respiratory distress or hypoxemia.
D. Collecting a sputum specimen for laboratory analysis is important for diagnosing and managing respiratory infections, but it may not be as time-sensitive as addressing acute respiratory distress or hypoxemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Beta cells are the pancreatic cells responsible for secreting insulin. Insulin acts to lower blood sugar levels by facilitating the uptake of glucose into cells for energy or storage. In individuals with diabetes mellitus, dysfunction of beta cells can lead to inadequate insulin secretion, resulting in high blood sugar levels.
A. Alpha cells are another type of cell in the pancreas, but they secrete glucagon, not insulin. Glucagon has the opposite effect of insulin, increasing blood sugar levels by stimulating the breakdown of glycogen in the liver.
C. Acinar cells are exocrine cells found in the pancreas that secrete digestive enzymes into the pancreatic ducts. These enzymes aid in the digestion of food in the small intestine. Acinar cells are not involved in the production of insulin.
D. Plasma cells are a type of white blood cell that produces antibodies as part of the immune response. They are not involved in the production of insulin.
Correct Answer is C
Explanation
C. Good control of blood glucose levels and blood pressure is essential in reducing the risk of diabetic retinopathy and its progression. Research has shown that maintaining tight glycemic control and managing hypertension can significantly decrease the likelihood and severity of retinopathy in patients with diabetes.
A. Laser surgery is a treatment option for certain complications of diabetic retinopathy, such as retinal hemorrhage or retinal detachment. However, it's essential to emphasize that prevention through good glycemic control and regular eye exams is key to reducing the risk of these complications, rather than relying solely on surgical interventions after they occur.
B. Cataracts are more common in individuals with diabetes and can be surgically corrected but this statement does not directly address the concern about retinopathy. Cataracts and retinopathy are separate ocular complications of diabetes, each requiring different management strategies.
D. Diabetes remains one of the leading causes of blindness in the United States, primarily due to its association with diabetic retinopathy. While advancements in diabetes management and eye care have helped reduce the incidence of blindness, it is still a significant concern for individuals with diabetes.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today