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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The pharmacist is responsible for filling prescriptions accurately but does not have control over how the nurse interprets the prescription once received.
B. The nurse has the ultimate responsibility for verifying and administering medications safely, including clarifying unclear prescriptions before administration.
C. The hospital has policies and systems in place to reduce errors, but accountability for individual actions lies with the nurse administering the medication.
D. The health care provider is responsible for prescribing medications accurately; however, the nurse must confirm and clarify any unclear prescriptions before administration.
Correct Answer is A,D,E,C,F,B
Explanation
A. The eyewear or face shield is typically removed first to prevent contamination of the face.
D. After eyewear is removed, the gown should be untied and removed without touching the outside to avoid contamination.
E. The mask is removed next, ensuring to only touch the strings to prevent exposure to contaminants.
C. Gloves are then removed as they are considered the most contaminated.
F. Contaminated supplies and equipment should be disposed of properly to maintain a safe environment.
B. Finally, hand hygiene is performed before leaving the room and closing the door.
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