A nurse is caring for a postoperative client experiencing shallow respirations and refusing to cough or get out of bed to the chair.

The nurse should educate the client about the increased risk of which complication?

Skin breakdown.

Pneumonia.

Thrombosis.

Atelectasis.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While skin breakdown can occur due to prolonged bed rest, it is not directly related to shallow respirations and refusal to cough or get out of bed.
Choice B rationale
Pneumonia is a possible complication due to immobility and shallow breathing. However, it is not the most immediate risk for a postoperative client who is refusing to cough or get out of bed.
Choice C rationale
Thrombosis is a risk associated with immobility, but it is not directly related to shallow respirations.
Choice D rationale
Atelectasis, or the collapse of alveoli in the lungs, is a common complication after surgery due to shallow breathing and lack of movement. This condition leads to reduced or absent gas exchange, which can further complicate the client’s recovery.

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Correct Answer is B

Explanation

Choice A rationale
Reports routinely listing the identification number of any equipment involved is not a problem. This is a standard practice in incident reporting as it helps in identifying and tracking the equipment involved in the incident.
Choice B rationale
Reports routinely omitting the names of witnesses to the occurrence is a problem that should be reported to the risk manager. Witnesses can provide crucial information about the incident, and their statements can help in understanding the sequence of events and identifying the root cause of the incident.
Choice C rationale
Reports being completed within 24 hours after the incident is not a problem. Timely reporting of incidents is crucial for accurate recall of events and immediate initiation of corrective actions.
Choice D rationale
Reports routinely including the client’s hospital number is not a problem. This is a standard practice in incident reporting as it helps in identifying and tracking the patient involved in the incident.

A. Medication errors are adverse events. B. Errors of execution are usually intentional and occur because of time or resource constraints. C. As many as 90% of medication errors are preventable. D. Poorly coordinated care and nosocomial infections are examples of errors.

Correct Answer is C

Explanation

Choice A rationale
While medication errors are indeed considered adverse events, this statement does not fully capture the scope of patient safety and prevention of harm.
Choice B rationale
Errors of execution are usually unintentional, not intentional. They often occur due to system failures rather than time or resource constraints.
Choice C rationale
It is estimated that as many as 90% of medication errors are preventable. This highlights the importance of safety measures and protocols in healthcare settings to prevent harm to patients.
Choice D rationale
Poorly coordinated care and nosocomial infections are examples of errors, but they represent only a fraction of the potential safety issues in healthcare.

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A nurse is caring for a postoperative client experiencing shallow respirations and refusing to cough or get out of bed to the chair. The nurse should educate the client about the increased risk of which complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing incident 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?

Correct Answer is B

Explanation

A nurse is taking a class about patient safety. Which of the following statements is true regarding patient safety and prevention of harm?

Correct Answer is C

Explanation

A client has been diagnosed in the Emergency Department with acute respiratory distress syndrome (ARDS). Which of the following actions should a nurse perform first?

A nurse is part of a Continuous Quality Improvement (CQI) committee tasked with developing a program to decrease medication administration errors following a sentinel event. Which strategy should the committee consider implementing first?

In the context of developing a care plan for a patient on a ventilator to prevent ventilator-associated pneumonia, which interventions should be included? Select all that apply.

The nurse is assigned to a quality improvement committee to decide on a quality improvement project for the unit. Which issues should the nurse discuss at the committee meeting?

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A new graduate nurse attends a seminar on Communication in Healthcare. Which of the following are considered barriers to appropriate communication with clients? Select all that apply.

A nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD) who is being evaluated for a lung transplant. What findings should a nurse expect when performing an initial physical assessment on a client diagnosed with COPD? Select all that apply.

A nurse is caring for a postoperative client experiencing shallow respirations and refusing to cough or get out of bed to the chair.

The nurse should educate the client about the increased risk of which complication?