Sara is receiving a nebulized albuterol treatment for her asthma exacerbation. Which of the following should be the nurse’s first priority after administering the treatment?

Auscultate Sara’s lung sounds.

Measure Sara’s temperature.

Encourage Sara to ambulate

Document the treatment in her medical record.

Answer and Explanation

The Correct Answer is A

Choice A reason: Auscultating lung sounds post-albuterol assesses treatment efficacy in asthma exacerbation. Reduced wheezing or improved air entry indicates bronchodilation, guiding further care, making it the priority to evaluate respiratory response immediately.

Choice B reason: Measuring temperature monitors infection, a possible asthma trigger, but it’s not the priority post-treatment. Albuterol targets acute bronchospasm, so assessing respiratory effect trumps systemic checks like fever in this moment.

Choice C reason: Encouraging ambulation is premature post-albuterol; patients need rest during exacerbation. It risks worsening dyspnea before confirming treatment success, making it less urgent than evaluating lung response to the bronchodilator.

Choice D reason: Documentation is essential but secondary to patient assessment post-treatment. Auscultating lung sounds first ensures albuterol’s effect is evaluated, as clinical response guides care before recording in the record.

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Correct Answer is D

Explanation

Choice A reason: Glucose of 122 mg/dL is mildly elevated, suggesting prediabetes, but not urgent in hypertension. It’s a chronic risk factor, less critical than renal function for immediate provider attention.

Choice B reason: Hemoglobin of 14.7 g/dL is normal (12-18 g/dL), requiring no action in hypertension. It reflects oxygen capacity, not directly tied to blood pressure or acute complications needing reporting.

Choice C reason: Potassium of 4.5 mEq/L is normal (3.5-5.0 mEq/L), not concerning in hypertension. It’s relevant with medications, but this value alone doesn’t warrant immediate communication to the provider.

Choice D reason: Creatinine of 2.8 mg/dL (normal 0.5-1.2 mg/dL) indicates renal impairment, critical in hypertension. It suggests kidney damage from pressure, needing urgent reporting to adjust treatment and prevent progression.

A. Collaborate With Speech Therapist to assess swallowing ability B. Collaborate With Physical Therapist to develop a plan for active range of motion and early mobility. C. Collaborate With the Respiratory Therapist to provide tracheostomy care D. Collaborate With the Dietitian to recommend a diet to promote nutrition

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

Explanation

Choice A reason: Speech therapists assess swallowing in tracheostomy patients, as the tube alters airway dynamics. Collaboration ensures safe oral intake, preventing aspiration, a critical task aligning with their expertise in dysphagia management.

Choice B reason: Physical therapists plan mobility in tracheostomy care, enhancing strength and preventing atrophy. Collaboration promotes early activity, improving respiratory muscle function and recovery, tailored to the patient’s physical capacity.

Choice C reason: Respiratory therapists provide tracheostomy care, like suctioning and cuff management, maintaining airway patency. Collaboration ensures proper technique, reducing infection or obstruction risks, a core responsibility in respiratory support.

Choice D reason: Dietitians recommend nutrition plans for tracheostomy patients, addressing caloric and swallowing needs. Collaboration optimizes healing and energy, adjusting diets (e.g., thickened liquids) to support recovery and prevent complications.

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Sara is receiving a nebulized albuterol treatment for her asthma exacerbation. Which of the following should be the nurse’s first priority after administering the treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the laboratory test results for a patient who has recently been diagnosed with hypertension. Which result is important to communicate to the health care provider?

Correct Answer is 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.

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

Explanation

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Which patient statement supports a history of intermittent claudication?

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