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 A
Explanation
A. Asthma is a chronic respiratory condition characterized by inflammation and hyperresponsiveness of the airways. This inflammation leads to bronchoconstriction, causing symptoms like wheezing, shortness of breath, chest tightness, and coughing. This description accurately captures the primary pathological features of asthma.
B. Fluid in the lungs, also known as pulmonary edema, is not a characteristic of asthma. Pulmonary edema is usually associated with conditions such as heart failure or acute respiratory distress syndrome (ARDS), not asthma.
C. Airway stretching and nonfunctionality are not characteristics of asthma. Conditions like bronchiectasis involve permanent dilation and damage to the airways, leading to chronic infections and impaired clearance of mucus, but this is different from asthma.
D. Asthma is not primarily caused by an infection, although infections can trigger asthma exacerbations. The primary issue in asthma is chronic inflammation and hyperresponsiveness of the airways, which are not caused by a low-grade infection but by a combination of genetic and environmental factors.
Correct Answer is C
Explanation
C. Elevating the head of the bed can help reduce nighttime GERD symptoms. By elevating the head of the bed by about 6 to 8 inches (15 to 20 centimeters), gravity helps prevent stomach acid from refluxing into the esophagus while the individual is lying down. This position can alleviate symptoms such as heartburn, regurgitation, and coughing during sleep.
A. Alcohol consumption, especially before bedtime, can exacerbate GERD symptoms. Alcohol relaxes the lower esophageal sphincter (LES), allowing stomach acid to reflux into the esophagus more easily.
B. Sleeping on the stomach with the head flat can worsen GERD symptoms. This position can increase pressure on the stomach and promote reflux of stomach acid into the esophagus. Sleeping on the stomach is generally not recommended for individuals with GERD.
D. Eating a large meal or having a snack shortly before bedtime can increase the likelihood of GERD symptoms during sleep. It's generally recommended to avoid eating large meals or heavy snacks close to bedtime. Instead, individuals with GERD should aim to finish eating at least 2 to 3 hours before lying down to sleep.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.