A nurse is updating a postoperative client's plan of care. The nurse should include which of the following as the priority interventions?

Reposition the client frequently.

Instruct the client to use the incentive spirometer.

Increase the amount of time the client spends out of bed each day.

Ensure the client consumes an adequate amount of fluids.

Answer and Explanation

The Correct Answer is B

A.   Reposition the client frequently: While repositioning is important for preventing pressure ulcers and maintaining comfort, it may not be the priority immediately postoperatively compared to other interventions.
B.   Instruct the client to use the incentive spirometer: This is the correct answer. Incentive spirometry helps prevent atelectasis and respiratory complications postoperatively, making it a priority intervention to include in the plan of care.
C.   Increase the amount of time the client spends out of bed each day: Early ambulation is important for preventing complications such as deep vein thrombosis and pneumonia, but it may not be the priority immediately postoperatively depending on the client's condition and surgical procedure.
D.   Ensure the client consumes an adequate amount of fluids: While hydration is important for postoperative recovery, ensuring adequate fluid intake may not be the priority compared to interventions aimed at preventing respiratory complications such as atelectasis.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Determine how current practice will affect future performance within the facility: While this is an important consideration for improving performance, it does not directly involve benchmarking against external standards or practices.
B. Compare practices within the facility against other high-performing facilities: This is the correct answer. Benchmarking involves comparing the organization's practices, processes, and performance metrics against those of other high-performing organizations or industry standards to identify areas for improvement and best practices.
C. Establish work initiatives to promote a positive environment: While promoting a positive work environment is important for organizational success, it is not directly related to benchmarking as control criteria.
D. Use root cause analysis to identify gaps in meeting standards: Root cause analysis is a method used to identify underlying causes of problems or failures. While it may be part of a quality improvement process, it is not specifically related to benchmarking.

A. Verify the spelling of the medication with the provider. B. Transcribe prescriptions received via a voicemail recording. C. Use standard abbreviations when obtaining a telephone prescription. D. Request that the provider call prescriptions in to the pharmacy.

Correct Answer is A

Explanation

A. Verify the spelling of the medication with the provider: This is important to ensure accuracy in transcription and to prevent medication errors. Verifying the spelling of the medication with the provider helps confirm the correct medication is being prescribed.

B. Transcribe prescriptions received via a voicemail recording: Transcribing prescriptions from voicemail recordings may introduce errors and is not a recommended practice due to potential misinterpretation or misunderstanding of the information.
C. Use standard abbreviations when obtaining a telephone prescription: While using standard abbreviations is generally encouraged in healthcare documentation, it's essential to prioritize clarity and accuracy when transcribing prescriptions, especially over the phone.
D. Request that the provider call prescriptions in to the pharmacy: While this may be a part of the process, it does not address the essential step of verifying the medication details with the provider to ensure accuracy.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is updating a postoperative client's plan of care. The nurse should include which of the following as the priority interventions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is teaching a newly licensed nurse about telephone prescriptions. Which of the following information should the nurse include?

Correct Answer is A

Explanation

A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions include as an example of ethical practice?

A nurse in an emergency department is caring for a client following a motor-vehicle crash. The client refuses to provide a urine sample to check for substance use. Which of the following actions should the nurse take?

A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions by the newly licensed nurse should the nurse identify as an indication of effective time management?

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?

A nurse is reviewing the medication administration record of a client and notices that a client’s condition requires intervention. Which of the following actions should the nurse take first?

A nurse initiates a referral to an occupational therapist for a client with care at the facility. Which of the following client care tasks should the nurse support the need for this referral?

A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?