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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Hip surgery may not necessarily require a pureed diet.
B. Individuals with difficulty swallowing, as seen in stroke patients, may require a pureed diet to prevent choking and aspiration.
C. Bariatric surgery may involve dietary modifications, but it does not automatically require a pureed diet.
D. Dementia alone may not necessitate a pureed diet; it depends on the individual's ability to chew and swallow safely.

Correct Answer is ["660"]

Explanation

To calculate the total output for this patient, we need to add up the amount of fluid that he lost through urination and emesis. Urination is the process of expelling urine from the body, and emesis is the medical term for vomiting. The patient urinated 300mL in the morning and 300mL at lunch, so the total amount of urine output is 600mL. The patient also had 60mL of emesis after lunch, so the total amount of emesis output is 60mL. Therefore, the total output for this patient is 600mL + 60mL = 660mL.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For which of the following clients should the nurse anticipate the need for a pureed diet?

Correct Answer is B

Explanation

A patient consumed 8oz of coffee and 200mL of water at breakfast, and urinated 300mL. At lunch he consumed a 12oz tea, 60 mL popsicle (frozen ice), and urinated 300mL. After lunch the patient felt nauseated and had 60mL of emesis. Calculate the total output for this patient.

Correct Answer is ["660"]

Explanation

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