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 B
Explanation
A. Checking for mucus in urine is not the purpose of a fecal occult blood test.
B. FOBT is a test to detect hidden (occult) blood in the stool.
C. Checking for mucus in stools is not the primary purpose of FOBT.
D. Checking for the presence of blood in urine is not the purpose of FOBT.
Correct Answer is ["1"]
Explanation
1 tablespoon = 15 mL
The available concentration of prednisone available = 5mg/5ml The patient will require a total of 15mls (15 x5/5)
1 tablespoon = 15mls
Therefore, the nurse will administer about 1 tablespoon of prednisone with each dose.
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