what is the priority nursing action for a patient experiencing an acute asthma attack what is the priority nursing action for a patient experiencing an acute asthma attack
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Nursing Elites

ATI RN

ATI RN Comprehensive Exit Exam

1. What is the priority nursing action for a patient experiencing an acute asthma attack?

Correct answer: A

Rationale: The correct answer is to administer bronchodilators as the priority nursing action for a patient experiencing an acute asthma attack. Bronchodilators help open the airways and improve airflow, which is crucial in managing the acute respiratory distress in asthma. Corticosteroids may be used subsequently to reduce inflammation, but in the acute phase, bronchodilators take precedence. Providing supplemental oxygen is important but may not address the underlying bronchoconstriction characteristic of an asthma attack. Starting IV fluids is not a priority in managing an acute asthma attack unless indicated for specific reasons such as dehydration.

2. A child is admitted for minimal change nephrotic syndrome (MCNS). The nurse recognizes that the child’s prognosis is related to what factor?

Correct answer: D

Rationale: The prognosis for children with MCNS is closely related to their response to steroid therapy. A favorable response to steroids usually indicates a better prognosis, while poor response may require alternative treatments and can indicate a more complicated disease course.

3. A client with type 1 diabetes mellitus is receiving foot care education from a nurse. Which of the following instructions should the nurse include?

Correct answer: D

Rationale: The correct answer is D: 'Trim toenails straight across.' In clients with diabetes, trimming toenails straight across is important to prevent ingrown toenails, reducing the risk of infections. Soaking feet in warm water daily (choice A) can lead to dry skin and potentially cause skin breakdown in diabetic clients. While wearing cotton socks (choice B) is beneficial for good foot hygiene, it is not as crucial as trimming toenails correctly. Applying lotion to feet after bathing (choice C) is helpful for moisturizing the skin, but the emphasis should be on nail care to prevent complications like ingrown toenails.

4. A lack of social skills, poor school performance, and moodiness have all been associated with which of the following parenting styles?

Correct answer: D

Rationale: The correct answer is D, Neglectful/uninvolved. This parenting style is associated with a lack of social skills, poor school performance, and moodiness due to the lack of parental involvement and emotional support. Authoritarian parenting (choice A) is characterized by strict rules and high demands, not necessarily linked to these issues. Permissive/indulgent parenting (choice B) involves few rules and high responsiveness, which may not directly lead to these problems. Authoritative parenting (choice C) combines high demands with emotional support and is actually linked to positive outcomes such as good school performance and social skills.

5. What intervention is needed for continuous bubbling in the chest tube water seal chamber?

Correct answer: A

Rationale: The correct intervention for continuous bubbling in the chest tube water seal chamber is to tighten the connections of the chest tube system. Continuous bubbling indicates an air leak in the system, and tightening the connections can help resolve this issue. Clamping the chest tube (Choice B) is not appropriate and can lead to complications by obstructing the drainage system. Similarly, replacing the entire chest tube system (Choice C) may not be necessary if the issue can be resolved by tightening the connections. Continuing to monitor the chest tube (Choice D) without taking action to address the continuous bubbling may delay necessary interventions to prevent complications.

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