Chat GPT flashcard set
A client with COPD presents with dyspnea and SpO2 86%. What is the priority intervention?
Administer SABA (short-acting bronchodilator) - Bronchodilators provide rapid relief from bronchospasm and improve oxygenation.
A cirrhosis patient with confusion and high ammonia. What’s the priority action?
Administer lactulose - Lactulose promotes ammonia excretion in stool, reducing neurotoxicity from hepatic encephalopathy.
A client with suspected retinal detachment reports ‘curtain’ vision. What is your priority?
Place patient in supine position with head turned - Helps prevent further retinal separation until surgical repair.
POD#1 post-gastric bypass patient has dizziness and nausea. Priority?
Place in Low Fowler’s position - Slows gastric emptying and helps prevent dumping syndrome symptoms.
A client with RR 7 and drowsiness after IV morphine. Priority?
Administer Naloxone - Reverses opioid-induced respiratory depression quickly.
A client with alcohol withdrawal tremors, BP 160/98, HR 118. What’s priority?
Administer Benzodiazepine - Prevents seizures and stabilizes CNS during alcohol withdrawal.
Post-op atelectasis prevention: What’s most effective?
Encourage Incentive Spirometer use - Promotes lung expansion and prevents alveolar collapse.
Cirrhosis with tense ascites and dyspnea. Priority intervention?
Elevate Head of Bed - Reduces abdominal pressure on the lungs and improves breathing.
Post-op patient with pain history of opioid misuse rates pain 9/10. Priority?
Use Multimodal Analgesia - Combines meds to manage pain effectively while minimizing opioid exposure.
Newly diagnosed TB patient. First action?
Place in Negative-pressure isolation room - Prevents airborne transmission to others.
Hospitalized flu patient develops crackles and dyspnea. What’s the priority action?
Notify provider - Sudden crackles may indicate pneumonia, which needs urgent medical management.
A patient found unresponsive with pinpoint pupils and RR 6. Priority action?
Begin BVM ventilation - Ensures oxygenation while preparing to administer naloxone.
Elderly post-op client receiving morphine for first time. Priority action?
Start low and monitor for sedation - Older adults are at high risk for opioid-induced respiratory depression.
Client with glaucoma asks about managing it. What’s your priority teaching?
Take prescribed eye drops daily - Long-term IOP control is critical to preserve vision.
Cirrhosis patient vomiting blood with esophageal varices. Priority action?
Administer Octreotide - Reduces portal pressure and bleeding risk.
Tracheostomy tube dislodged and patient in distress. Priority action?
Call for help and ventilate via BVM - Restores airway in a life-threatening situation.
Pre-op bariatric patient is anxious. Priority nursing action?
Assess understanding of postoperative expectations - Ensures informed consent and readiness.
TB patient is being discharged. Priority action?
Confirm Directly Observed Therapy (DOT) is arranged - Ensures adherence and prevents resistance.
Alcohol-intoxicated client vomiting and unresponsive. First priority?
Turn on side and protect airway - Reduces risk of aspiration.
Pneumonia patient now has confusion and SpO2 89% on 2L O2. First priority?
Increase oxygen flow - Treats hypoxia immediately.
Post-cataract surgery patient says they’ll clean their eye with a cotton swab. Priority response?
Re-educate on proper hygiene - Cotton swabs can cause trauma or infection.
Gastric bypass patient says they’ll drink fluids with meals. Priority teaching?
Instruct to avoid fluids with meals - Prevents dumping syndrome.
CIWA score 22 with hallucinations. What’s the priority?
Administer lorazepam - Treats severe alcohol withdrawal and prevents complications.
Cirrhosis patient says they use ibuprofen for pain. What is your response?
Consult provider - NSAIDs increase GI bleeding risk in liver disease.
