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Nursing Care Priorities for Various Health Conditions Quiz

#1

Which patient should the nurse prioritize for assessment?

A patient with chest pain and shortness of breath
Explanation

Prioritizing assessment for a patient exhibiting symptoms of chest pain and shortness of breath.

#2

Which patient should the nurse prioritize for immediate intervention?

A patient with a blood pressure of 220/120 mmHg
Explanation

Prioritizing immediate intervention for a patient with severely elevated blood pressure.

#3

Which nursing action is a priority for a patient at risk for aspiration?

Elevate the head of the bed
Explanation

Raising the head of the bed as a preventive measure for a patient at risk of aspiration.

#4

Which intervention is a priority for a patient experiencing anaphylaxis?

Ensuring a patent airway and administering epinephrine
Explanation

Addressing airway obstruction and providing immediate epinephrine for anaphylaxis.

#5

What is the priority nursing action for a patient experiencing a myocardial infarction (MI)?

Administering thrombolytics promptly
Explanation

Swift administration of thrombolytics to dissolve clots and restore blood flow during a myocardial infarction.

#6

Which intervention is a priority for a patient experiencing a hypertensive crisis?

Lowering blood pressure gradually with intravenous antihypertensives
Explanation

Gradual reduction of blood pressure using IV antihypertensives for a patient in hypertensive crisis.

#7

What is the priority nursing action for a patient with acute respiratory distress syndrome (ARDS)?

Administering high-flow oxygen therapy
Explanation

Providing high-flow oxygen therapy as the primary intervention for a patient with acute respiratory distress syndrome.

#8

What is the priority nursing intervention for a patient experiencing a seizure?

Protect the patient from injury by removing nearby objects and easing them to the ground
Explanation

Ensuring patient safety by removing nearby objects and easing the patient to the ground during a seizure.

#9

What is the priority nursing intervention for a patient with severe sepsis?

Starting intravenous fluids and broad-spectrum antibiotics
Explanation

Initiating prompt IV fluids and broad-spectrum antibiotics to combat severe sepsis.

#10

Which nursing action is a priority for a patient with a traumatic brain injury (TBI)?

Monitoring intracranial pressure (ICP) and maintaining cerebral perfusion
Explanation

Ensuring close monitoring of intracranial pressure and maintaining cerebral perfusion for a patient with traumatic brain injury.

#11

What is the priority nursing intervention for a patient with diabetic ketoacidosis (DKA)?

Administering insulin bolus
Explanation

Administering an insulin bolus as the primary intervention for a patient with diabetic ketoacidosis.

#12

Which nursing action is a priority for a patient with acute renal failure?

Monitoring fluid intake and output, and assessing electrolyte levels
Explanation

Monitoring fluid balance and electrolyte levels as a priority for a patient with acute renal failure.

#13

What is the priority nursing intervention for a patient experiencing a hypertensive emergency?

Lowering blood pressure gradually with intravenous antihypertensives
Explanation

Gradual reduction of blood pressure using IV antihypertensives for a patient in a hypertensive emergency.

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