A nurse has been assigned 4 patients to care for at the beginning of their shift. Using the Safety and Risk Reduction priority setting framework, which of the following patients should be the priority to see first by the nurse?

A patient who is a fall risk, has a bed alarm in place and is sleeping.

A patient who is complaining of pain at a level 7 on the pain scale and is due for pain medication

A patient with a tracheostomy who is wheezing, has increase secretions and is due for tracheostomy suction.

A patient with a pressure ulcer (wound) to the sacrum who was just turned on their left side an hour ago.

Answer and Explanation

The Correct Answer is C

A.   While a fall-risk patient is important, the patient is currently sleeping and has a bed alarm in place, reducing immediate risk.
B.   Pain management is important, but the patient is not in immediate distress, and pain can be addressed after the more critical patient is attended to.
C. A patient with a tracheostomy experiencing wheezing and increased secretions may be at risk for airway compromise and need immediate attention.
D.   Turning a patient with a pressure ulcer, while important for prevention, is not as urgent as addressing potential airway issues in the tracheostomy patient.

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Correct Answer is D

Explanation

A. Emphysema is not associated with bronchodilation; it is characterized by the destruction of alveoli.
B. Emphysema does not directly increase oxygen saturation; it impairs gas exchange.
C. Emphysema does not affect systole; it primarily affects lung function.
D. Emphysema decreases lung tissue elasticity, leading to decreased compliance, making it harder for the lungs to inflate and deflate.

A. Instruct the client to keep the specimen container refrigerated or on ice. B. Instruct the patient that they can use any type of container of their choice to collect the 24 hour urine specimen. C. Instruct the client to date and time the specimen container at the completion or end of the 24 hour urine collection. D. Keep the urine warm during collection.

Correct Answer is ["A","C"]

Explanation

A. Keeping the specimen container refrigerated or on ice helps preserve the integrity of the urine sample.
B. Using any type of container may not provide accurate results; a specific collection container is usually recommended.
C. Dating and timing the specimen container at the end of the 24-hour collection period are essential for accurate analysis.
D. Keeping the urine warm is not necessary and may not be practical during the entire collection period.

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A nurse has been assigned 4 patients to care for at the beginning of their shift. Using the Safety and Risk Reduction priority setting framework, which of the following patients should be the priority to see first by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that emphysema decreases lung tissue elasticity. How does this affect lung inflation?

Correct Answer is D

Explanation

A nurse is providing instruction to a client who will be performing a 24 hour urine collection at home. Which of the following instructions will the nurse give the client?

Correct Answer is ["A","C"]

Explanation

Codeine 15 mg IM q4h is ordered. Codeine is available in a vial containing 30 mg/mL. How many mL will the nurse administer?

Patients who use supplemental oxygen should follow which safety precautions? SELECT ALL THAT APPLY

While reading a physician's progress notes a student notes that an assigned client is having hypoxia. What abnormal assessments would the student expect to find?

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