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 D
Explanation
D. Alpha cells, also known as A cells, are a type of pancreatic islet cell (or islet of Langerhans cell) that secretes glucagon. Glucagon plays a crucial role in increasing blood sugar levels by promoting the breakdown of glycogen in the liver and stimulating the release of glucose into the bloodstream.
A. Plasma cells are a type of white blood cell that produces antibodies as part of the immune response. They are not involved in the production of glucagon.
B. Acinar cells are exocrine cells found in the pancreas that secrete digestive enzymes into the pancreatic ducts. These enzymes aid in the digestion of food in the small intestine. Acinar cells are not involved in the production of glucagon.
C. Beta cells are another type of cell in the pancreas, but they secrete insulin, not glucagon. Insulin is responsible for lowering blood sugar levels by promoting the uptake of glucose into cells for energy or storage.
Correct Answer is C
Explanation
C. Raisins are a source of carbohydrates, particularly simple sugars like glucose and fructose, which can quickly raise blood sugar levels during an episode of hypoglycemia. However, they do not contain protein, which can help sustain blood sugar levels over time. Raisins may provide a rapid increase in blood sugar but may not be as effective at preventing subsequent episodes of hypoglycemia.
A. Cheese is a source of protein and contains very little carbohydrate. While protein can help stabilize blood sugar levels, it may not provide a rapid increase in blood sugar during an episode of hypoglycemia. Cheese alone may not be the most effective choice for treating low blood sugar promptly.
B. Beef jerky is primarily a source of protein and may not contain enough carbohydrates to quickly raise blood sugar levels during an episode of hypoglycemia. While protein can help stabilize blood sugar over time, it may not provide the rapid increase in blood sugar needed to address acute hypoglycemia.
D. Chocolate, especially dark chocolate with a high cocoa content, contains carbohydrates in the form of sugar and fat. While it can quickly raise blood sugar levels due to its sugar content, it may not provide sustained energy due to its low protein content.
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