A nurse is preparing to discharge a patient who is post-operative following a laryngectomy. The nurse should recognize which of the following discharge teaching as the highest priority?

Use of Passy Muir speaking valve.

Phone number of healthcare provider to report complications.

Emergency personal identification that patient is unable to speak.

Ability to perform tracheostomy care.

Answer and Explanation

The Correct Answer is D

Choice A rationale
The use of a Passy Muir speaking valve can be important for communication, but it is not the highest priority for discharge teaching.
Choice B rationale
Having the phone number of the healthcare provider to report complications is important, but it is not the highest priority. The patient needs to know how to prevent and recognize complications first.
Choice C rationale
While having emergency personal identification that the patient is unable to speak is important, it is not the highest priority. The patient’s immediate post-operative needs should be addressed first.
Choice D rationale
The ability to perform tracheostomy care is the highest priority for discharge teaching. This is a new and critical skill that the patient must learn to prevent complications, maintain the airway, and manage their own care at home.

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

Explanation

Choice A rationale
Thinking critically is a fundamental skill in nursing. It involves the ability to question, analyze, and evaluate care processes and outcomes. Critical thinking allows nurses to make informed decisions, prioritize tasks, and solve problems efficiently and effectively, which ultimately leads to safe, quality, patient-centered care.
Choice B rationale
Evaluating outcomes at the start of the shift is not typically recommended. Instead, continuous evaluation throughout the shift is more beneficial. This allows for timely interventions and adjustments to the care plan as needed.
Choice C rationale
Communication is a vital aspect of patient-centered care. Effective communication ensures that all members of the healthcare team, including the patient, are informed about the patient’s care plan. This promotes collaboration, improves patient outcomes, and enhances patient satisfaction.
Choice D rationale
Planning and reporting outcomes are crucial components of the nursing process. They enable the tracking of progress, facilitate communication among healthcare providers, and ensure that care is aligned with the patient’s goals.
Choice E rationale
Evaluating outcomes at the end of the shift is important as it provides an opportunity to assess the effectiveness of interventions, make necessary adjustments to the care plan, and ensure continuity of care.

A. Thoracentesis. B. Obtain ABGs. C. Computed tomography (CT) of the chest. D. Prepare for insertion of a chest tube. E. Obtain intravenous access. F. Pulmonary Function Tests (PFTS). .

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

Explanation

Choice A rationale
Thoracentesis may be performed to remove air from the pleural space in a client with a pneumothorax.
Choice B rationale
Obtaining arterial blood gases (ABGs) can help assess the client’s respiratory status and the severity of the pneumothorax.
Choice C rationale
A computed tomography (CT) scan of the chest can provide detailed images of the lungs and can help confirm the diagnosis of a pneumothorax.
Choice D rationale
Preparation for the insertion of a chest tube may be necessary to remove air from the pleural space and allow the lung to re-expand in a client with a pneumothorax.
Choice E rationale
Obtaining intravenous access is often necessary for administering medications and fluids.

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A nurse is preparing to discharge a patient who is post-operative following a laryngectomy. The nurse should recognize which of the following discharge teaching as the highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse instructor is teaching nursing students about safety, quality, and patient-centered care. What recommendations should the students recognize that promote safe, quality, patient-centered care? Select all that apply.

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

Explanation

A nurse is caring for a client who has a pneumothorax. The nurse is reviewing the client’s medical record. What prescriptions should the nurse anticipate for a client who has a pneumothorax?

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

Explanation

A patient is being treated for bacterial pharyngitis. Which of the following should a nurse recommend to promote the patient’s nutrition during treatment?

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?

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.

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A nurse is caring for a patient at risk for atelectasis. Which independent nursing measure should the nurse prioritize to prevent the development of atelectasis?

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