A nurse is caring for a patient receiving mechanical ventilation. The nurse should prioritize which action associated with neuromuscular blockade?

Report the absence of spontaneous respirations.

Encourage the patient to attempt to breathe on their own.

Provide passive range-of-motion exercises.

Respond to ventilator alarms.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Reporting the absence of spontaneous respirations is important, but it is not the priority action. The patient is on mechanical ventilation, so the absence of spontaneous respirations is expected.
Choice B rationale
Encouraging the patient to attempt to breathe on their own is not the priority action. The patient is receiving mechanical ventilation, which means they are likely unable to breathe adequately on their own.
Choice C rationale
Providing passive range-of-motion exercises is important for overall patient mobility and prevention of complications such as deep vein thrombosis, but it is not the priority action in this case.
Choice D rationale
Responding to ventilator alarms is the priority action. Alarms may indicate a change in the patient’s condition or a problem with the ventilator. Immediate response is necessary to ensure the patient’s safety.

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Correct Answer is C

Explanation

Choice A rationale
While medication errors are indeed considered adverse events, this statement does not fully capture the scope of patient safety and prevention of harm.
Choice B rationale
Errors of execution are usually unintentional, not intentional. They often occur due to system failures rather than time or resource constraints.
Choice C rationale
It is estimated that as many as 90% of medication errors are preventable. This highlights the importance of safety measures and protocols in healthcare settings to prevent harm to patients.
Choice D rationale
Poorly coordinated care and nosocomial infections are examples of errors, but they represent only a fraction of the potential safety issues in healthcare.

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 is caring for a patient receiving mechanical ventilation. The nurse should prioritize which action associated with neuromuscular blockade?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is taking a class about patient safety. Which of the following statements is true regarding patient safety and prevention of harm?

Correct Answer is C

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

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