A nurse instructor is teaching nursing students about safety, quality, and patient-centered care.

What recommendations should the students recognize that promote safe, quality, patient-centered care? Select all that apply.

Think critically.

Evaluate outcomes at the start of the shift.

Communicate the plan.

Plan and report outcomes.

Evaluate outcomes at the end of the shift.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A rationale
Thinking critically is a fundamental skill in nursing. It involves the ability to question, analyze, and evaluate care processes and outcomes. Critical thinking allows nurses to make informed decisions, prioritize tasks, and solve problems efficiently and effectively, which ultimately leads to safe, quality, patient-centered care.
Choice B rationale
Evaluating outcomes at the start of the shift is not typically recommended. Instead, continuous evaluation throughout the shift is more beneficial. This allows for timely interventions and adjustments to the care plan as needed.
Choice C rationale
Communication is a vital aspect of patient-centered care. Effective communication ensures that all members of the healthcare team, including the patient, are informed about the patient’s care plan. This promotes collaboration, improves patient outcomes, and enhances patient satisfaction.
Choice D rationale
Planning and reporting outcomes are crucial components of the nursing process. They enable the tracking of progress, facilitate communication among healthcare providers, and ensure that care is aligned with the patient’s goals.
Choice E rationale
Evaluating outcomes at the end of the shift is important as it provides an opportunity to assess the effectiveness of interventions, make necessary adjustments to the care plan, and ensure continuity of care.

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Correct Answer is B

Explanation

Choice A rationale
While it is important to monitor oxygen use to prevent hypoxia and hypercapnia, taking breaks from oxygen use is not typically recommended for clients with COPD. These clients often require supplemental oxygen to maintain adequate oxygen saturation.
Choice B rationale
Maintaining a low flow rate of oxygen is crucial in clients with COPD. These clients are often “CO2 retainers,” and administering a high concentration of oxygen can suppress their respiratory drive, leading to further CO2 retention and respiratory distress.
Choice C rationale
While it is important to assess for signs of skin breakdown in clients receiving oxygen therapy, this is not the priority when administering nasal oxygen to a client with COPD38.
Choice D rationale
Clients should not adjust their oxygen flow rate without medical supervision. Increasing the oxygen flow rate can lead to hyperoxia, which can be harmful, especially in clients with COPD who are CO2 retainers.

A. Apply warm compresses. B. Complete prescribed antibiotics. C. Avoid smoking. D. Avoid swimming. E. Periorbital edema is a normal finding.

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

Explanation

Choice A rationale
Applying warm compresses can help relieve the pain and pressure associated with acute rhinosinusitis by reducing inflammation and promoting sinus drainage.
Choice B rationale
Completing prescribed antibiotics is crucial in treating acute bacterial rhinosinusitis. Antibiotics help eliminate the bacterial infection causing the inflammation and symptoms.
Choice C rationale
Smoking can irritate the nasal passages and exacerbate the symptoms of rhinosinusitis. Avoiding smoking can help reduce inflammation and promote healing.
Choice D rationale
Swimming, especially in chlorinated pools, can irritate the nasal passages and sinuses, potentially worsening the symptoms of rhinosinusitis. It’s recommended to avoid swimming until the condition has resolved.
Choice E rationale
Periorbital edema is not a normal finding and could indicate a complication of rhinosinusitis, such as a spread of the infection. If a client notices this symptom, they should seek medical attention.

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A nurse instructor is teaching nursing students about safety, quality, and patient-centered care. What recommendations should the students recognize that promote safe, quality, patient-centered care? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD). Which precaution should the nurse prioritize when administering nasal oxygen therapy to the client?

Correct Answer is B

Explanation

A nurse is caring for a client diagnosed with acute rhinosinusitis. Which of the following instructions should the nurse provide to the client? Select all that apply.

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

Explanation

A nurse is preparing to discharge a patient who is post-operative following a laryngectomy. The nurse should recognize which of the following discharge teaching as the highest priority?

A nurse is caring for a patient who has recently been diagnosed with chronic rhinosinusitis. What should the nurse understand about chronic rhinosinusitis in patients who have undergone organ transplants?

A nurse is caring for a postoperative client experiencing shallow respirations and refusing to cough or get out of bed to the chair. The nurse should educate the client about the increased risk of which complication?

A nurse is caring for a patient who has just returned to the unit following a bronchoscopy and requests coffee. The nurse assesses that it is safe for the patient to resume oral liquids when which of the following behaviors is demonstrated?

A nurse is reviewing incident reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?

A nurse is caring for a patient at risk for atelectasis. Which independent nursing measure should the nurse prioritize to prevent the development of atelectasis?

A clinic nurse is planning to teach a group of clients about laryngeal cancer. The nurse should include which of the following risk factors associated with the development of laryngeal cancer? Select all that apply.

A nurse is caring for a client diagnosed with adult respiratory distress syndrome (ARDS) and being treated with positive end expiratory pressure (PEEP). How does PEEP benefit the client?

A nurse instructor is teaching nursing students about safety, quality, and patient-centered care.

What recommendations should the students recognize that promote safe, quality, patient-centered care? Select all that apply.