A patient comes to the Emergency Department with inspiratory stridor, nonproductive cough, and tachypnea. What treatment do you anticipate for this patient as the priority?
Antibiotics
Sputum culture
Inhaled bronchodilator
History of illness exposure
The Correct Answer is C
Choice A reason: Antibiotics treat bacterial infections, but inspiratory stridor, cough, and tachypnea suggest acute airway obstruction, like croup or bronchospasm. Antibiotics are not immediate for these symptoms, as they address infection, not airway narrowing, making this a lower-priority treatment.
Choice B reason: Sputum culture identifies pathogens but is not urgent for inspiratory stridor, which indicates airway compromise needing immediate relief. Cultures guide long-term therapy, not acute management, making this an incorrect priority for the patient’s presentation.
Choice C reason: Inhaled bronchodilators, like albuterol, are the priority for inspiratory stridor, nonproductive cough, and tachypnea, as they relax airway smooth muscles, relieving bronchospasm or narrowing. This addresses acute airway obstruction, common in conditions like asthma or croup, making it the correct treatment.
Choice D reason: History of illness exposure informs diagnosis but delays treatment for acute airway symptoms. Inspiratory stridor requires immediate intervention to ensure airway patency, making history-taking secondary to addressing the urgent respiratory distress, thus an incorrect priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Pyuria, urgency, and frequency are typical UTI symptoms, but elderly patients often present with atypical signs like confusion. Confusion is more prominent in this age group, so this is less specific and incorrect.
Choice B reason: Dysuria, frequency, and suprapubic pain are common UTI symptoms, but elderly patients may show confusion instead of classic signs. Confusion and frequency are more likely, so this is incorrect.
Choice C reason: In elderly patients (85 years), UTIs often cause confusion due to altered mental status, alongside frequency. Atypical symptoms like confusion are common, making this the correct manifestation for this age group.
Choice D reason: Hematuria and flank pain suggest complicated UTIs or kidney issues, not typical in elderly UTI presentation. Confusion and frequency are more expected, so this is incorrect.
Correct Answer is D
Explanation
Choice A reason: Nerve damage from the prosthetic may cause local discomfort, but pain in the entire absent arm suggests phantom limb pain. This is less likely than neural misfiring, so it’s incorrect.
Choice B reason: Heart attack referred pain typically affects the left arm but is unlikely in a prosthetic limb. Phantom limb pain explains pain in the absent arm, so this is incorrect.
Choice C reason: Muscle strain affects existing muscles, not a prosthetic arm. Phantom limb pain, from neural signals in the brain, explains pain in the missing limb, so this is incorrect.
Choice D reason: Phantom limb pain occurs when the brain perceives pain in an amputated limb, common in prosthetic users. This matches Mr. Jones’s pain in his prosthetic arm, making it correct.
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