1. A 58-year-old male with a history of chronic obstructive pulmonary
disease (COPD) is experiencing an exacerbation. Which of the following
interventions should the nurse prioritize?
A. Administering bronchodilators
B. Encouraging increased fluid intake
C. Providing supplemental oxygen
D. Teaching about smoking cessation
Answer: C. Providing supplemental oxygen
Rationale: During a COPD exacerbation, maintaining adequate
oxygenation is critical. Supplemental oxygen should be prioritized to
prevent hypoxemia.
2. A patient with type 2 diabetes mellitus has a foot ulcer that is not
healing. What is the most important factor the nurse should assess first?
A. Blood glucose levels
B. Nutritional status
C. Sensation in the feet
D. Skin integrity around the ulcer
Answer: A. Blood glucose levels
Rationale: Elevated blood glucose levels can impair wound healing.
Controlling blood glucose is essential for the management of diabetic foot
ulcers.
3. A nurse is caring for a patient with end-stage renal disease. Which
dietary modification is most appropriate for this patient?
A. High protein
B. Low potassium
C. Increased caloric intake
D. Unrestricted fluids
Answer: B. Low potassium
Rationale: Patients with end-stage renal disease often have hyperkalemia
due to decreased renal excretion of potassium. A low potassium diet is
necessary to prevent complications.
4. A 65-year-old female with rheumatoid arthritis reports increased joint
pain. Which non-pharmacological intervention should the nurse suggest?
A. Application of cold packs
B. High-impact exercises
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