A nurse is caring for a client diagnosed with COVID-19. The client is experiencing mild respiratory distress and has a low-grade fever. The nurse observes the client using accessory muscles to breathe. What action should the nurse prioritize?
A) Administer antipyretics
B) Initiate mechanical ventilation
C) Encourage deep breathing exercises
D) Administer a bronchodilator
E) Administer antiviral medication
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Rationale:
In a client with COVID-19 experiencing mild respiratory distress and using accessory muscles to breathe, initiation of mechanical ventilation may be necessary to provide adequate respiratory support. Mechanical ventilation helps maintain oxygenation and ventilation, preventing further respiratory compromise in severe cases of COVID-19.
Understanding Covid: NCLEX Priority Questions
A nurse is caring for a group of clients on a COVID-19 unit. One of the clients is receiving remdesivir as part of the treatment plan. What should the nurse monitor for as a potential side effect of remdesivir?
A) Hypoglycemia
B) Liver dysfunction
C) Hyperkalemia
D) Hypertension
E) Hypokalemia
Rationale:
Remdesivir, an antiviral medication used in the treatment of COVID-19, has been associated with potential liver dysfunction. Therefore, the nurse should closely monitor liver function tests during the administration of remdesivir to identify any signs of hepatotoxicity and take appropriate actions to address potential adverse effects.
Understanding Covid: NCLEX Delegation Questions
A client with COVID-19 is receiving oxygen therapy via nasal cannula. The client reports feeling claustrophobic and anxious with the nasal cannula in place. What intervention should the nurse implement to address the client’s anxiety?
A) Increase the oxygen flow rate
B) Switch to a non-rebreather mask
C) Administer a sedative medication
D) Allow short breaks from oxygen therapy
E) Encourage the use of a pulse oximeter
Rationale:
Patients with COVID-19 may experience anxiety while receiving oxygen therapy. Allowing short breaks from the nasal cannula provides the client with brief periods to breathe without the device, addressing the claustrophobic feelings. This intervention helps promote the client’s comfort and compliance with oxygen therapy while ensuring adequate oxygenation.
Understanding Covid: Causes and Symptoms
A nurse is caring for a client with suspected COVID-19. The client is complaining of sudden loss of taste and smell, along with a persistent cough. What action should the nurse take first?
A) Administer an antipyretic
B) Isolate the client immediately
C) Initiate antiviral medication
D) Encourage fluid intake
E) Perform a chest X-ray
Rationale:
Sudden loss of taste and smell, along with a persistent cough, are common symptoms of COVID-19. The priority action for the nurse is to isolate the client immediately to prevent the potential spread of the virus to others. Timely isolation helps control the transmission of the virus and is a crucial step in managing suspected or confirmed cases of COVID-19.
NCLEX Questions: Focus on Medications for Covid
A nurse is caring for a group of clients in a long-term care facility. One resident has tested positive for COVID-19. What infection control measures should the nurse implement to prevent the spread of the virus within the facility?
A) Administer prophylactic antibiotics to all residents
B) Limit staff access to the infected resident’s room
C) Encourage communal dining for socialization
D) Allow family visits without restrictions
E) Provide only symptomatic treatment to infected residents
Rationale:
To prevent the spread of COVID-19 within a long-term care facility, limiting staff access to the infected resident’s room is essential. This measure helps reduce the risk of transmission between residents and staff members. Implementing strict infection control measures, including appropriate use of personal protective equipment, is crucial to protect vulnerable populations in long-term care settings.
1000 HESI Exit Questions
NCLEX Focus Exploring Covid: Causes and Diagnosis
A pregnant client presents to the labor and delivery unit with symptoms of COVID-19. The client is in the early stages of labor. What precautions should the nurse take when caring for this client?
A) Administer oxytocin to accelerate labor
B) Encourage the client to breathe without a mask
C) Isolate the client in a negative pressure room
D) Limit the number of healthcare providers in the room
E) Delay COVID-19 testing until after delivery
Rationale:
When caring for a pregnant client in the early stages of labor with symptoms of COVID-19, limiting the number of healthcare providers in the room is crucial to minimize potential exposure. This measure helps protect both the healthcare team and the newborn. While isolation precautions are important, maintaining appropriate staffing levels and using personal protective equipment are essential components of providing safe and effective care to pregnant clients during the COVID-19 pandemic.
NCLEX Review: Covid Treatments
A nurse is assessing a client with confirmed COVID-19. The client reports difficulty breathing and chest pain. On examination, the nurse notes increased respiratory rate, decreased oxygen saturation, and crackles on auscultation. What is the priority nursing intervention for this client?
A) Administer antiviral medication
B) Perform chest compressions
C) Place the client in a prone position
D) Administer a bronchodilator
E) Initiate oxygen therapy
Rationale:
In a client with confirmed COVID-19 experiencing respiratory distress, the priority is to ensure adequate oxygenation. Initiating oxygen therapy helps improve oxygen saturation and alleviate respiratory distress. It is a crucial intervention to address hypoxemia and prevent further complications, such as respiratory failure.
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NCLEX Questions Critical Thinking: Covid Symptoms
1000 Medical-Surgical Questions
A nurse is caring for a client with COVID-19 who is receiving mechanical ventilation. The client’s family expresses concern about the sedation used for the ventilated patient. What is the nurse’s best response?
A) “We use sedation to keep the patient asleep.”
B) “Sedation is not necessary for ventilated patients.”
C) “It helps the patient tolerate the discomfort of the ventilator.”
D) “We use sedation to speed up the recovery process.”
E) “We avoid sedation to allow the patient to stay alert.”
Rationale:
Sedation is often used in mechanically ventilated patients to help them tolerate the discomfort and anxiety associated with the ventilator. It enhances patient comfort, facilitates synchronization with the ventilator, and promotes overall respiratory stability. Providing this information to the family helps address their concerns and promotes understanding of the rationale behind the use of sedation in such cases.
A nurse is caring for a postoperative client with COVID-19. The client has a surgical wound and reports increased pain. What action should the nurse take regarding pain management?
A) Administer a nonsteroidal anti-inflammatory drug (NSAID)
B) Increase the dosage of opioid pain medication
C) Use a patient-controlled analgesia (PCA) pump
D) Apply a cold compress to the surgical site
E) Encourage the client to endure the pain without medication
Rationale:
In a postoperative client with COVID-19, optimal pain management is crucial for recovery. Using a patient-controlled analgesia (PCA) pump allows the client to self-administer prescribed doses of pain medication, promoting pain control while minimizing the risk of overmedication. It is a safe and effective method to address postoperative pain in the context of COVID-19.
A pregnant client presents to the emergency department with flu-like symptoms and a history of exposure to a confirmed COVID-19 case. The client is in the second trimester of pregnancy. What assessment should the nurse prioritize?
A) Fetal heart rate monitoring
B) Maternal blood pressure measurement
C) Administering antiviral medication
D) Obtaining a chest X-ray
E) Monitoring maternal oxygen saturation
Rationale:
In a pregnant client with flu-like symptoms and exposure to COVID-19, assessing the fetal well-being is a priority. Fetal heart rate monitoring provides crucial information about the baby’s condition and helps identify any potential complications. Monitoring maternal vital signs and oxygen saturation is important, but ensuring the well-being of the fetus is a priority in the context of COVID-19 and pregnancy.