A patient hospitalized with a myocardial infarction suddenly begins having severe respiratory distress with frothy red sputum. What is the first action for the nurse to take?

Notify the patient's family.

Provide oxygen as prescribed.

Notify the health care provider.

Elevate the head of the bed.

Answer and Explanation

The Correct Answer is B

Choice A Reason:Notifying the patient's family is not the immediate priority when the patient is experiencing severe respiratory distress. The nurse's primary focus should be on addressing the patient's acute symptoms.

Choice B Reason:Providing oxygen is crucial in managing respiratory distress. In a patient with myocardial infarction (heart attack), adequate oxygenation is essential to prevent further complications. The nurse should promptly administer oxygen as prescribed to improve oxygen supply and alleviate distress.

Choice C Reason:While notifying the health care provider is essential, it is not the first action in this critical situation. The nurse should prioritize interventions that directly address the patient's distress.

Choice D Reason:Elevating the head of the bed (semi-Fowler's position) is beneficial for patients with respiratory distress, but it is not the initial action. Providing oxygen takes precedence over positioning.

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Correct Answer is C

Explanation

Choice A reason: Gluten is not typically restricted for patients taking MAOIs unless they have a separate condition that requires this diet.

Choice B reason: Extra salt does not interact with MAOIs, so it is not necessary to avoid it unless the patient has other health concerns that require a low-sodium diet.

Choice C reason: Processed lunch meats are high in tyramine, which can cause dangerous interactions with MAOIs, leading to hypertensive crises.

Choice D reason: While caffeine may need to be limited, it is not as critical as avoiding high-tyramine foods like processed lunch meats when taking MAOIs.

A. "I will take the Lasix in the morning." B. "I will drink lots of fluids with the Lasix." C. "I will count my radial pulse for one minute." D. "I will take it with each meal." E. "I will eat a banana daily."

Correct Answer is ["B","D"]

Explanation

Choice A reason: Taking Lasix in the morning is appropriate to avoid nocturia and sleep disturbances.

Choice B reason: Patients should be cautious with fluid intake when taking Lasix to avoid fluid overload, especially in heart failure.

Choice C reason: Counting the radial pulse is not directly related to Lasix administration but is a good practice for monitoring heart rate.

Choice D reason: Lasix should not be taken with each meal; it is usually taken once daily unless otherwise prescribed.

Choice E reason: Eating a banana daily is recommended to replenish potassium that may be lost due to the diuretic effect of Lasix.

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A patient hospitalized with a myocardial infarction suddenly begins having severe respiratory distress with frothy red sputum. What is the first action for the nurse to take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Correct Answer is ["B","D"]

Explanation

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