Which nursing intervention takes highest priority for the nurse caring for an unconscious patient?

Inserting an indwelling urinary catheter

Putting a nasogastric (NG) tube in place

Maintaining a patent airway

Administering an enema daily

Answer and Explanation

The Correct Answer is C

A. Inserting an indwelling urinary catheter – Incorrect. While catheterization may be necessary, it is not the highest priority for an unconscious patient.

B. Putting a nasogastric (NG) tube in place – Incorrect. NG tube placement can be useful for feeding or decompressing the stomach, but airway management takes precedence.

C. Maintaining a patent airway – Correct Answer. Airway patency is the top priority in an unconscious patient to prevent aspiration, hypoxia, or respiratory failure.

D. Administering an enema daily – Incorrect. This is not a priority in unconscious patients.

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Correct Answer is D

Explanation

A. Rowing. – Incorrect. Rowing can strain the lower back.

B. Tennis. – Incorrect. Twisting motions in tennis can exacerbate back pain.

C. Canoeing. – Incorrect. Similar to rowing, canoeing may strain the lower back.

D. Swimming. – Correct Answer. Water-based exercises provide low-impact movement and reduce strain on the spine, making swimming the best choice.

A. A child who has a sprained wrist B. A child who has pneumonia C. A child who has rheumatic fever D. A child recovering from a ruptured appendix

Correct Answer is A

Explanation

A. A child with a sprained wrist is non-infectious and poses no risk to the immunocompromised leukemia patient.

B. Pneumonia is a contagious respiratory infection that poses a high risk.

C. Rheumatic fever can involve post-streptococcal infection risks.

D. A ruptured appendix increases the risk of infection due to peritonitis.

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Which nursing intervention takes highest priority for the nurse caring for an unconscious patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who reports low back pain and asks the nurse for specific exercise recommendations. Which of the following activities should the nurse suggest?

Correct Answer is D

Explanation

A nurse is admitting a child who has leukemia. Which of the following patients should the nurse place in the same room with this child?

Correct Answer is A

Explanation

A nurse is developing a teaching plan for a patient who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse plan to take first?

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