A patient who is experiencing an acute asthma attack is admitted to the emergency department.
Which action should the nurse complete first?

Administer a prescribed bronchodilator medication.

Check the patient's vital signs.

Collect a sputum sample for analysis.

Obtain a detailed health history.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Administering a prescribed bronchodilator medication is the priority action for a patient experiencing an acute asthma attack. This helps to open the airways and improve breathing.

Choice B rationale

While checking the patient's vital signs is important, it is not the first action in the acute management of an asthma attack. The immediate priority is to relieve bronchospasm.

Choice C rationale

Collecting a sputum sample for analysis is not the first priority in an acute asthma attack. Stabilizing the patient's breathing is more urgent.

Choice D rationale

Obtaining a detailed health history is essential for comprehensive care but is not the first action during an acute asthma attack. Rapid intervention to improve breathing is the priority.

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Correct Answer is C

Explanation

Choice A rationale

Preparing the client for lithotripsy is important for treatment but is not the immediate highest priority in an emergency setting. Immediate pain management takes precedence.

Choice B rationale

Ordering a renal ultrasound is necessary for assessing the stones but comes after stabilizing the client's acute symptoms, including managing pain.

Choice C rationale

Administering pain medication as prescribed is the highest priority because renal colic causes severe pain. Immediate pain relief is crucial for the client's comfort and to facilitate further diagnostic and therapeutic interventions.

Choice D rationale

Initiating IV fluid therapy is important for hydration and possibly aiding stone passage but follows after addressing the acute pain.

A. Encourage the patient to bear weight on the residual limb to promote early ambulation. B. Apply a tight compression bandage to the residual limb to promote circulation. C. Assess the residual limb for signs of hemorrhage or poor circulation. D. Remove the prosthetic limb and keep the residual limb uncovered to allow for air exposure.

Correct Answer is C

Explanation

Choice A rationale

Encouraging the patient to bear weight on the residual limb immediately after surgery is not recommended due to the risk of injury and poor healing.

Choice B rationale

Applying a tight compression bandage can help with circulation, but assessing for complications takes precedence immediately after surgery.

Choice C rationale

Assessing the residual limb for signs of hemorrhage or poor circulation is crucial to identify any post-surgical complications early.

Choice D rationale

Keeping the residual limb uncovered might be necessary in some cases, but initial assessment and monitoring are more important immediately after surgery. .

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A patient who is experiencing an acute asthma attack is admitted to the emergency department.Which action should the nurse complete first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the emergency room with renal colic due to renal lithiasis (stones). What is the nurse's highest priority in managing care for this client?

Correct Answer is C

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Correct Answer is C

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A patient who is experiencing an acute asthma attack is admitted to the emergency department.
Which action should the nurse complete first?