The nurse has just received a change of shift report on four patients. Which patient will the nurse assess first?

A post-operative patient after thyroid surgery preparing for discharge with a new medication

A patient diagnosed with Cushing's disease after insertion of a nasogastric tube

A patient scheduled for a chest radiograph who is anxious about their treatment

A patient with chronic obstructive pulmonary disease who requested a breathing treatment during the previous shift

Answer and Explanation

The Correct Answer is D

Choice A reason: While a post-operative patient preparing for discharge is important, they are stable enough to be considered for discharge and do not require immediate assessment.

Choice B reason: A patient with Cushing's disease after insertion of a nasogastric tube may need monitoring, but this is not as urgent as a patient with potential respiratory distress.

Choice C reason: A patient scheduled for a chest radiograph who is anxious about their treatment does not require immediate intervention compared to a patient experiencing respiratory issues.

Choice D reason: A patient with chronic obstructive pulmonary disease who requested a breathing treatment during the previous shift may be experiencing respiratory distress and requires immediate assessment and intervention to prevent further complications.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Taking immunosuppressive medications only when symptoms of rejection are noticed is incorrect. Immunosuppressive medications must be taken consistently as prescribed to prevent rejection, even when the patient feels well.

Choice B reason: Avoiding exercise for the first year after the transplant is not necessary. Patients are usually encouraged to engage in light to moderate exercise to promote overall health and recovery. The type and level of exercise should be discussed with the healthcare provider.

Choice C reason: Following the prescribed medication regimen exactly as directed is crucial for preventing organ rejection. Consistent use of immunosuppressive medications helps maintain the balance needed to prevent the immune system from attacking the transplanted organ.

Choice D reason: Taking herbal supplements to boost the immune system is incorrect. Patients with organ transplants need to suppress their immune system to prevent rejection. Herbal supplements can interact with immunosuppressive medications and are generally not recommended without consulting a healthcare provider.

A. Albuterol, 2 inhalations B. Beclomethasone, 2 inhalations C. Fluticasone and salmeterol, 1 inhalation D. Tiotropium, 2 inhalations

Correct Answer is A

Explanation

Choice A reason: Albuterol is a short-acting beta-agonist that helps to quickly relieve bronchospasm, reduce wheezing, and improve airflow in patients with COPD exacerbations.

Choice B reason: Beclomethasone is an inhaled corticosteroid used for long-term control of inflammation in COPD but is not the first-line treatment for acute exacerbations.

Choice C reason: Fluticasone and salmeterol is a combination inhaler used for maintenance therapy in COPD, providing both anti-inflammatory and long-acting bronchodilation effects, but not ideal for immediate symptom relief.

Choice D reason: Tiotropium is a long-acting anticholinergic bronchodilator used for maintenance treatment in COPD but is not the best choice for acute symptom management.

View Question and Answer

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

The nurse has just received a change of shift report on four patients. Which patient will the nurse assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient after a recent kidney transplant. What statement will the nurse include when teaching the patient about preventing organ rejection?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

The nurse is caring for a patient with inflammatory bowel disease who has been discharged with an ileostomy. The patient expresses reluctance to participate in aspects of ostomy care. What is the nurse's most appropriate response to this observation?

The nurse is in the G unit is assessing a patient after receiving the change of shift SBAR report. What assessment findings will the nurse report immediately to the provider?

The nurse is caring for a patient with metabolic alkalosis. What will the nurse recognize as the common cause of this acid-base imbalance?

The nurse is caring for a patient with hyperosmolar hyperglycemic syndrome. The patient is receiving intravenous fluids of normal saline with 20 mEq of potassium chloride and a continuous insulin infusion. Which finding will indicate to the nurse that the treatment is effective?

The nurse is caring for a patient with diabetic ketoacidosis (DKA). What clinical manifestations will the nurse anticipate the patient to present? (Select All That Apply)

The nurse is assessing a patient who is diagnosed with inflammatory bowel disease and is requiring inpatient treatment at a hospital. What medication will the nurse provide when caring for this patient?

The nursing students are preparing a care plan for a patient with heart failure. The patient will be prescribed diuretic therapy after discharge. What evidence-based instructions will the nurse include in this plan?

The nurse is assessing a patient with chronic obstructive pulmonary disease (COPD) who is reporting dyspnea. The nurse auscultates the patient's chest and hears wheezing throughout the lung fields. What does this finding indicate to the nurse about this patient?