A nurse is preparing to transport an intubated patient to the operating room for an emergent surgical procedure. Which nursing action is most important to ensure patient safety during transport?
Confirm that the patient's consent form is signed and in the chart.
Notify the surgical team of the patient's arrival time.
Document the time the patient left the unit and who accompanied them.
Ensure that portable oxygen and suction equipment are functioning and available.
The Correct Answer is D
A. Confirm that the patient's consent form is signed and in the chart: Ensuring informed consent is critical for legal and ethical reasons, but it does not directly prevent immediate life-threatening complications during transport of an intubated patient.
B. Notify the surgical team of the patient's arrival time: Communicating with the surgical team is important for workflow and preparedness, but it does not directly safeguard the patient’s airway or oxygenation during transport.
C. Document the time the patient left the unit and who accompanied them: Accurate documentation is essential for accountability and continuity of care, yet it does not actively prevent physiologic compromise during transport.
D. Ensure that portable oxygen and suction equipment are functioning and available: Maintaining a patent airway and adequate oxygenation is the highest priority for an intubated patient. Portable oxygen and suction are critical in case of accidental extubation, obstruction, or respiratory compromise during transport, making this the most important safety measure
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Increased preload: Preload refers to the volume of blood returning to the heart. In this patient, hypovolemia from vomiting, diarrhea, and gastrointestinal bleeding reduces circulating volume rather than increasing it, so increased preload is not the underlying issue.
B. Decreased afterload: Afterload is the resistance the left ventricle must overcome to eject blood. While hypovolemia may indirectly affect afterload, fluid resuscitation primarily targets restoring intravascular volume and preload, not directly correcting afterload.
C. Decreased preload: The patient’s prolonged fluid losses have led to hypovolemia, resulting in decreased venous return and reduced preload. Administering a fluid bolus increases circulating volume, improves ventricular filling, and enhances cardiac output, which is critical in hypovolemic shock.
D. Increased afterload: Increased afterload is usually seen in hypertension or vasoconstrictive states and is not the primary concern in a patient with fluid loss. Treating hypovolemia with fluids does not target elevated afterload but restores adequate preload for perfusion.
Correct Answer is ["8"]
Explanation
Calculation:
- Identify the ordered dose and available concentration
Ordered Dose: 5 mg/kg
Patient Weight: 80 kg
Dose in mg = 5 × 80
= 400 mg
Available Concentration: 150 mg/3 mL = 50 mg/mL
- Calculate the volume to administer
Volume to administer = Ordered Dose ÷ Concentration
= 400 ÷ 50
= 8 mL
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