A nurse is reviewing event 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. Use many "I's" in the message: Overusing the word "I" can make a message seem self-centered and less engaging. Instead, a balanced approach that highlights accomplishments and skills without excessive focus on oneself is more effective. Using "I" sparingly helps maintain professionalism and keeps the focus on how the nurse's qualifications meet the needs of potential employers.
B. Be sure to remove your address and phone number and replace it with your email because your resume will be on the internet: While protecting personal information is important, completely removing contact details is not advisable. Including a professional email along with appropriate contact information allows potential employers to reach out directly. Instead of removing all personal contact information, consider using a professional email address while maintaining other essential contact details as needed.
C. Save your resume in .docx format: While .docx is a commonly used format, it is not the best choice for online job applications, as some applicant tracking systems may not parse it correctly. Instead, saving the resume as a PDF is often recommended, as it preserves formatting and is widely accepted by employers. Therefore, this option may not be the most effective recommendation.
D. Focus on selling yourself: This is a good recommendation for a nurse searching for a job. Effectively presenting skills, experiences, and accomplishments demonstrates to potential employers how the nurse can add value to their organization. A well-crafted resume and cover letter should highlight the nurse's qualifications, passion for nursing, and ability to meet the specific needs of the position and the organization. This approach can significantly enhance the chances of securing an interview and ultimately a job.

A. Increase the oxygen flow rate. The client is experiencing worsening hypoxia, tachypnea, and dyspnea, indicating progressive respiratory distress due to pulmonary embolism (PE). Increasing the oxygen flow rate is the priority to improve oxygenation, reduce the work of breathing, and prevent further hypoxemia. Providing supplemental oxygen helps stabilize the client while preparing for further interventions. The client’s rapidly deteriorating condition, suggests potential hemodynamic instability. Immediate provider notification ensures urgent evaluation for interventions such as anticoagulation, thrombolytics, or intensive monitoring.
B. Increase the oxygen flow rate, then elevate the head of the bed. While elevating the head of the bed can assist breathing by improving lung expansion, it does not address the underlying pathophysiology of PE. Notifying the provider is more critical, as the client may need immediate pharmacologic or procedural interventions to prevent further deterioration.
C. Administer pain medication, then notify the healthcare provider. Pain relief is important, but in acute respiratory distress, oxygenation and circulatory stability take precedence. Narcotics can depress respiratory drive and worsen hypoxia, making them a lower priority until the client’s respiratory status is stabilized.
D. Encourage deep breathing exercises, then check capillary refill. Deep breathing is beneficial for lung expansion but is not an effective treatment for acute PE. The priority is ensuring oxygenation and immediate medical intervention rather than focusing on routine assessments like capillary refill, which do not directly address the emergency.
E. Elevate the head of the bed, then apply compression stockings. Elevating the head of the bed may help ease breathing, but it is a supportive measure rather than a primary intervention. Compression stockings are used for DVT prevention, not for managing an active embolism, making them inappropriate as a priority action in this scenario.