Dr. Whitten just evaluated Ms. Sanchez and has written the following orders: Choose which order must be completed first.

Ceftriaxone 1 gm IVPB

Antipyretic given every 6 hours

Blood and sputum cultures

Monitor Blood Glucose before meals and at Bedtime

Monitor I and O

Answer and Explanation

The Correct Answer is C

Choice A reason: Ceftriaxone treats infection, but giving it before cultures risks sterilizing samples, skewing results. It’s critical therapy, yet obtaining accurate diagnostics first ensures targeted treatment, delaying antibiotics briefly.

Choice B reason: Antipyretics reduce fever, a symptom, not the cause. Cultures take priority to identify pathogens before comfort measures, as fever management doesn’t alter diagnostic or treatment urgency in this case.

Choice C reason: Blood and sputum cultures identify the causative organism in suspected infection (e.g., pneumonia). They must be obtained first, before antibiotics, to ensure accuracy, guiding effective therapy and avoiding false negatives.

Choice D reason: Monitoring glucose is routine, not urgent in acute infection unless diabetic crisis is suspected. Cultures precede this, as identifying the pathogen drives treatment, while glucose can wait without immediate risk.

Choice E reason: Monitoring intake and output tracks fluid status, useful but secondary in acute infection. Cultures are the priority to diagnose and treat effectively, as I&O doesn’t alter initial management decisions.

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Correct Answer is C

Explanation

Choice A reason: Pleural effusion with chest discomfort suggests fluid buildup, causing pain but not immediate airway compromise. It’s stable compared to tracheal deviation, prioritizing respiratory distress over this less acute issue.

Choice B reason: Cor pulmonale with 4+ edema indicates chronic right heart failure, a serious but slower process. It’s less urgent than acute airway obstruction, as it’s manageable with diuretics, not an immediate threat.

Choice C reason: Tracheal deviation post-catheter insertion signals tension pneumothorax, a life-threatening emergency. It compresses airways and vessels, requiring immediate assessment and intervention to restore breathing and circulation.

Choice D reason: Fever of 101°F post-lung transplant suggests infection or rejection, critical but not airway-immediate. It’s urgent, yet tracheal deviation’s acute respiratory collapse takes precedence over this systemic concern.

A. Determine Trigger B. Health Promotion C. Stress Management D. Keep a Journal E. Start a running program

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

Explanation

Choice A reason: Identifying triggers (e.g., allergens, exercise) prevents asthma exacerbations by avoiding bronchoconstriction causes. It empowers Sara to control exposure, a cornerstone of asthma education supported by evidence for long-term management success.

Choice B reason: Health promotion, like vaccinations and smoking cessation, reduces asthma triggers and infections. It strengthens overall respiratory health, a key teaching point to minimize exacerbations and improve Sara’s quality of life.

Choice C reason: Stress management reduces anxiety, a known asthma trigger via hyperventilation or vagal response. Techniques like deep breathing help Sara maintain control, making it a vital component of comprehensive asthma education.

Choice D reason: Keeping a journal tracks symptoms, triggers, and medication use, aiding asthma control. It provides data for healthcare adjustments, empowering Sara with self-monitoring, a proven strategy in personalized asthma management plans.

Choice E reason: Starting a running program risks exacerbating asthma via exercise-induced bronchospasm, especially without control. It’s not suitable teaching; gradual activity with medical clearance is safer, not an initial recommendation.

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Dr. Whitten just evaluated Ms. Sanchez and has written the following orders: Choose which order must be completed first.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After change-of-shift report, which patient would the nurse assess first?

Correct Answer is C

Explanation

Which of the following items should the nurse include in teaching Sara about asthma? (Select all that apply)

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

Explanation

Nursing management of patients with tracheostomies includes collaboration with other healthcare team members. Match the Health care team member with the correct collaborative task.

Sara has been admitted to the unit for asthma exacerbation. Which assessment findings are commonly associated with asthma exacerbation? (Select all that apply)

The nurse is reviewing the patient’s recent symptoms and lab results. Which of the following symptoms or findings suggest worsening heart failure? (Select all that apply)

Complete the following sentence: Given the patient’s symptoms of dyspnea and fatigue, the nurse anticipates the primary care provider may increase the dose of (medication class) to help reduce fluid overload.

An hour after a left thoracotomy, a patient reports incisional pain at a level 7 (based on 0 to 10 scale) and has decreased left-sided breath sounds. The pleural drainage system has 100 mL of bloody drainage. Which action would the nurse take?

In a severely anemic patient, which assessment findings would the nurse expect to find?

A nursing student is reviewing medications used to treat a patient with Peripheral Artery Disease (PAD). Which of the following medications should the nurse identify as commonly prescribed for this condition? (Select all that apply)

Based on the patient’s medication list, which of the following medications directly treat hypertension? (Select all that apply)