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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Incentive spirometry is a technique that helps prevent atelectasis by encouraging deep breathing and lung expansion.
B. Nebulizer medications may be important for respiratory health but do not specifically address the risk of atelectasis.
C. Sequential compression devices are used to prevent deep vein thrombosis and do not directly address atelectasis.
D. A low-fat diet is not directly related to preventing atelectasis; respiratory exercises are more relevant.
Correct Answer is D
Explanation
A. Black, tarry stools may indicate gastrointestinal bleeding but are not associated with abdominal cramping and frequent bowel movements.
B. Dry, odorous stools are not typical findings in a client experiencing abdominal cramping and frequent bowel movements.
C. Hard, formed stools are not consistent with the symptoms described by the client.
D. Loose, watery stools are indicative of frequent bowel movements and may be associated with abdominal cramping.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.