Which intervention is most important for the nurse to implement before leaving a postoperative client with severe obstructive sleep apnea (OSA) alone?

Remove dentures or other oral appliance.

Elevate the head of the bed to a 45-degree angle.

Apply the client’s positive airway pressure device.

Put and lock the side rails in place.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Removing dentures or other oral appliances may help prevent airway obstruction but is not the most critical intervention for a client with severe obstructive sleep apnea (OSA)4.
Choice B rationale
Elevating the head of the bed to a 45-degree angle can help improve airway patency but is not as effective as applying the positive airway pressure device.
Choice C rationale
Applying the client’s positive airway pressure device (CPAP or BiPAP) is the most important intervention to maintain airway patency and prevent respiratory compromise in a client with severe obstructive sleep apnea (OSA)4.
Choice D rationale
Putting and locking the side rails in place is important for safety but does not directly address the airway management needs of a client with severe obstructive sleep apnea (OSA)4.

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Correct Answer is ["A","C","D","E","F"]

Explanation

Choice A rationale
Double-checking all dosage calculations is a critical step in preventing medication errors. This ensures that the correct dose is administered and helps avoid potentially harmful mistakes.
Choice B rationale
The option “nusually large or small doses” seems to be a typographical error and does not provide a clear action to prevent medication errors. Therefore, it is not considered a correct choice.
Choice C rationale
Comparing the medication label to the order is essential to ensure that the correct medication is being administered. This step helps verify that the medication matches the provider’s prescription.
Choice D rationale
Using at least two client identifiers before administering a dose is a standard safety practice to confirm the client’s identity and prevent administering medication to the wrong person.
Choice E rationale
Involving and educating clients in medication administration can help prevent errors by ensuring that clients are aware of their medications and can alert the nurse to any discrepancies or concerns.
Choice F rationale
Documenting all medication in the electronic record as soon as it is given is crucial for maintaining accurate records and ensuring that all healthcare providers have up-to-date information about the client’s medication administration.

A. Withdraw the medication into a syringe and label with the client’s name. B. Ask another nurse to witness the medication being discarded. C. Place the vial with the remainder of the medication into a locked drawer. D. Throw the vial into the trash in the presence of another nurse.

Correct Answer is B

Explanation

Choice A rationale
Withdrawing the medication into a syringe and labeling it with the client’s name is not necessary and could lead to errors or contamination.
Choice B rationale
Asking another nurse to witness the medication being discarded ensures proper documentation, accountability, and compliance with regulations.
Choice C rationale
Placing the vial with the remainder of the medication into a locked drawer does not address the need for proper documentation and labeling of the remaining medication.
Choice D rationale
Throwing the vial into the trash in the presence of another nurse is not appropriate as it does not ensure proper documentation, accountability, or safe storage of the remaining medication.

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Which intervention is most important for the nurse to implement before leaving a postoperative client with severe obstructive sleep apnea (OSA) alone?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","D","E","F"]

Explanation

The nurse is preparing to administer lorazepam 1.5 mg IV to an anxious preoperative client. The medication is available in a 2 mg/mL vial. Which action should the nurse perform with the remainder of the medication?

Correct Answer is B

Explanation

To assess the quality of the client’s abdominal pain, which approach should the nurse use?

The nurse plans to use the Situation, Background, Assessment, and Recommendation (SBAR) format of communication during which interaction?

What times should the nurse measure vital signs? Select all that apply.

The nurse is teaching a client about a newly prescribed medication. To confirm that the client is learning the critical information, which strategy is most important for the nurse to include during the instruction?

The nurse notices a client grimacing while moving from the bed to a chair, but when asked about the pain, the client denies having any pain. Which intervention should the nurse implement first?

A nurse is administering insulin glargine to a client.Which of the following actions should the nurse take to prevent medication errors? Select all that apply.