A nurse is caring for a group of patients. Which patient should the nurse see first?

A patient with hypercapnia wearing an oxygen mask

A patient with a chest tube ambulating with the chest tube unclamped

A patient with thick secretions being tracheal suctioned first and then orally

A patient with a new tracheostomy and tracheostomy obturator at bedside

Answer and Explanation

The Correct Answer is B

A. A patient with hypercapnia requires monitoring, but wearing an oxygen mask indicates some level of intervention is in place.
B. A patient with a chest tube should never ambulate with the chest tube unclamped, as this can lead to a collapsed lung and respiratory distress; thus, this patient should be prioritized.
C. While a patient with thick secretions may need suctioning, this is not as critical as ensuring the safety of a patient with an unclamped chest tube.
D. A patient with a new tracheostomy requires monitoring, but the presence of the obturator indicates readiness for emergencies; this does not take priority over the safety of the patient with the chest tube.

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Correct Answer is A

Explanation

A. Compassion fatigue is characterized by burnout and secondary traumatic stress, which result from prolonged exposure to caring for patients in distress and trauma, leading to emotional exhaustion.
B. Lateral violence and intrapersonal conflict involve hostile behavior and internal personal issues, which do not define compassion fatigue.
C. While physical and mental exhaustion can occur with compassion fatigue, they are not the defining aspects without the context of prolonged trauma exposure.
D. Short-term grief and a single stressor do not capture the chronic nature of compassion fatigue, which builds over repeated exposure to others' suffering.

A. Give the injection and hold pressure over the site for 3 minutes. B. Administer the injection at a slower rate. C. Withdraw the needle and prepare the injection again. D. Pull the needle back slightly and inject the medication.

Correct Answer is C

Explanation

A. Continuing with the injection after seeing blood return increases the risk of injecting into a blood vessel, which is not safe for IM injections.
B. Administering at a slower rate does not address the issue of possible intravascular injection.
C. If blood is aspirated, the correct procedure is to withdraw the needle, dispose of the medication, and prepare a new dose to prevent intravascular administration, as IM injections are meant to be given into muscle tissue, not into a vein.
D. Pulling the needle back slightly is not recommended because it does not ensure that the needle is completely out of the blood vessel.

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A nurse is caring for a group of patients. Which patient should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has compassion fatigue. What is the nurse experiencing?

Correct Answer is A

Explanation

The nurse is giving an intramuscular (IM) injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?

Correct Answer is C

Explanation

A nurse preparing to start a blood transfusion will use which type of tubing?

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A nurse is preparing to assess a patient for orthostatic hypotension. Which piece of equipment will the nurse obtain to assess for this condition?

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