A nurse has been assigned 4 patients to care for at the beginning of their shift. Using the Safety and Risk Reduction priority setting framework, which of the following patients should be the priority to see first by the nurse?
A patient who is a fall risk, has a bed alarm in place and is sleeping.
A patient who is complaining of pain at a level 7 on the pain scale and is due for pain medication
A patient with a tracheostomy who is wheezing, has increase secretions and is due for tracheostomy suction.
A patient with a pressure ulcer (wound) to the sacrum who was just turned on their left side an hour ago.
The Correct Answer is C
A. While a fall-risk patient is important, the patient is currently sleeping and has a bed alarm in place, reducing immediate risk.
B. Pain management is important, but the patient is not in immediate distress, and pain can be addressed after the more critical patient is attended to.
C. A patient with a tracheostomy experiencing wheezing and increased secretions may be at risk for airway compromise and need immediate attention.
D. Turning a patient with a pressure ulcer, while important for prevention, is not as urgent as addressing potential airway issues in the tracheostomy patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Race and gender are non-modifiable risk factors.
B. Sedentary lifestyle, diet high in fats, smoking, and obesity are modifiable risk factors.
C. Age and family history are non-modifiable risk factors.
D. Race, age, and gender are non-modifiable risk factors.
Correct Answer is C
Explanation
A. Urinary frequency is the need to void frequently.
B. Involuntary voiding refers to unintentional loss of urine.
C. Urinary retention is the inability to empty the bladder fully, often associated with an enlarged prostate.
D. Urinary incontinence is the involuntary loss of urine.
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