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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason: Reducing saturated fats, which are found primarily in red meat and full-fat dairy products, can lower low-density lipoprotein (LDL) cholesterol — the "bad" cholesterol.
Choice B reason: Avoiding trans fats is crucial as they increase LDL cholesterol and decrease high-density lipoprotein (HDL) cholesterol — the "good" cholesterol.
Choice C reason: Consuming whole grains is beneficial for lowering cholesterol because they contain soluble fiber, which can reduce the absorption of cholesterol into the bloodstream⁶.
Choice D reason: Limiting sugar-sweetened beverages can help reduce cholesterol levels, as excessive sugar intake can lead to weight gain, which is a risk factor for high cholesterol.
Choice E reason: Drinking whole milk is not recommended for cholesterol control as it contains high levels of saturated fat, which can raise cholesterol levels.
Choice F reason: Limiting fruit intake is not necessary for cholesterol control; in fact, fruits can be beneficial due to their fiber content⁶.
Correct Answer is B
Explanation
Choice A reason: Informing the client about the potential use of restraints could be perceived as threatening and may not be therapeutic.
Choice B reason: Assisting the client to practice social interaction in a structured setting like a community meeting can provide a safe environment for interaction and can be part of a therapeutic plan.
Choice C reason: Escorting the client to her room could be isolating and may not address the need for social interaction, which is important for clients with bipolar disorder.
Choice D reason: Allowing the client to interact freely might not be appropriate if the behavior is disturbing others. It's important to find a balance that respects both the client's needs and those of others.
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.