A nurse is assessing a 62-year-old with a 50 pack year history, on the pulmonary unit. During assessment, the nurse notes the patient has an anteroposterior (AP) chest diameter equal to the lateral diameter. The patient reports chronic shortness of breath with exertion, a persistent productive cough, and occasional fatigue. Vital signs: HR 102, RR 20, SpO₂ 91% on 2 L O₂ via nasal cannula. What is the nurses priority?  

A 7-year-old child with a history of asthma presents to the emergency department with audible wheezing, intercostal retractions, tachypnea, and difficulty speaking in full sentences. The child appears anxious and is sitting upright, leaning forward. Which intervention should the nurse implement first?

A 2-year-old toddler is hospitalized with pneumonia and is prescribed bedrest. The nurse plans care that promotes oxygenation while supporting developmental needs. Which intervention is most appropriate?

The school nurse is assessing a first-grade child who has had upper respiratory symptoms for more than 1 week. Based on clinical findings consistent with acute sinusitis, which assessment findings would support this suspicion? (Select all that apply.)

The parents of a 3-month-old infant newly diagnosed with cystic fibrosis (CF) state, “No one in either of our families has ever had cystic fibrosis. We don’t understand how our baby could have this.” Which response by the nurse is most appropriate?

A nurse is assessing four patients with a history of asthma who present to the emergency department. Which patient should the nurse assess first?  

A 3-year-old child awakens at 2300 with a sudden onset of a barking cough, hoarse voice, and inspiratory stridor. The child is restless but responsive, and mild intercostal retractions are noted. It is a warm summer evening. The parents call the nurse advice line for guidance. Which initial intervention should the nurse recommend?

A 7-year-old child is diagnosed with streptococcal pharyngitis after a positive throat culture for group A β-hemolytic streptococcus. The parents ask, “What treatment will our child most likely need?” Which response by the nurse is most appropriate?

The nurse is evaluating teaching provided to the parents of a 2-year-old child with cystic fibrosis (CF) regarding home respiratory therapy. Which statement by the parents indicates a correct understanding of the prescribed respiratory regimen?

A nurse is caring for a 58-year-old patient with COPD who has been taking oral prednisolone 20 mg daily for the past three months. The provider discontinues the medication abruptly. The following morning, the patient reports feeling dizzy and extremely fatigued and has a blood pressure of 88/54. What is the nurse’s priority action?