A nurse is taking a class about patient safety. The nurse should recognize that which of the following statements is true regarding patient safety and prevention of harm?

Poorly coordinated care and nosocomial infections are examples of errors

As many as 90% of medication errors are preventable

Errors of execution are usually intentional and occur because of time or resource constraints

Medication errors are adverse events

Answer and Explanation

The Correct Answer is B

A. Poorly coordinated care and nosocomial infections are examples of errors: While poorly coordinated care can lead to adverse events, nosocomial infections are typically classified as healthcare-associated infections rather than errors. Errors generally refer to mistakes made in clinical practice that can lead to harm, whereas nosocomial infections are outcomes that arise from the healthcare environment.
B. As many as 90% of medication errors are preventable: This statement is true and highlights the significant opportunity for improvement in patient safety. Recognizing that a large percentage of medication errors can be prevented underscores the importance of implementing safety protocols, effective communication, and education to reduce the likelihood of errors occurring in clinical practice.
C. Errors of execution are usually intentional and occur because of time or resource constraints: This statement is misleading, as errors of execution typically refer to mistakes made during the performance of a task rather than intentional actions. These errors often occur due to lack of knowledge, skill, or attention rather than being intentional, and they are not solely attributed to time or resource constraints.
D. Medication errors are adverse events: While medication errors can lead to adverse events, not all medication errors result in harm. An adverse event is defined as an injury caused by medical management rather than the underlying condition of the patient, so this statement is not entirely accurate. Medication errors can be classified as near misses or adverse events, depending on whether they resulted in harm to the patient.

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Correct Answer is D

Explanation

A. Use many "I's" in the message: Overusing the word "I" can make a message seem self-centered and less engaging. Instead, a balanced approach that highlights accomplishments and skills without excessive focus on oneself is more effective. Using "I" sparingly helps maintain professionalism and keeps the focus on how the nurse's qualifications meet the needs of potential employers.
B. Be sure to remove your address and phone number and replace it with your email because your resume will be on the internet: While protecting personal information is important, completely removing contact details is not advisable. Including a professional email along with appropriate contact information allows potential employers to reach out directly. Instead of removing all personal contact information, consider using a professional email address while maintaining other essential contact details as needed.
C. Save your resume in .docx format: While .docx is a commonly used format, it is not the best choice for online job applications, as some applicant tracking systems may not parse it correctly. Instead, saving the resume as a PDF is often recommended, as it preserves formatting and is widely accepted by employers. Therefore, this option may not be the most effective recommendation.
D. Focus on selling yourself: This is a good recommendation for a nurse searching for a job. Effectively presenting skills, experiences, and accomplishments demonstrates to potential employers how the nurse can add value to their organization. A well-crafted resume and cover letter should highlight the nurse's qualifications, passion for nursing, and ability to meet the specific needs of the position and the organization. This approach can significantly enhance the chances of securing an interview and ultimately a job.

A. pH 7.55, PaCO2 30 mm Hg, PaO2 80 mm Hg, HCO3 24 mEq/L B. pH 7.30, PaCO2 60 mm Hg, PaO2 70 mm Hg, HCO3 30 mEq/L C. pH 7.40, PaCO2 40 mm Hg, PaO2 94 mm Hg, HCO3 22 mEq/L D. pH 7.38, PaCO2 45 mm Hg, PaO2 88 mm Hg, HCO3 26 mEq/L

Correct Answer is B

Explanation

A. pH 7.55, PaCO2 30 mm Hg, PaO2 80 mm Hg, HCO3 24 mEq/L: This ABG finding indicates respiratory alkalosis, as evidenced by the elevated pH and decreased PaCO2. In progressive COPD, clients typically retain carbon dioxide rather than blow it off, so this finding would not be expected in a patient with chronic respiratory issues.
B. pH 7.30, PaCO2 60 mm Hg, PaO2 70 mm Hg, HCO3 30 mEq/L: This is the most consistent finding for a client with progressive COPD. The low pH indicates acidosis, and the elevated PaCO2 suggests respiratory acidosis due to carbon dioxide retention, a common problem in COPD. The elevated HCO3 indicates a compensatory metabolic response, as the body attempts to retain bicarbonate to buffer the acidosis.
C. pH 7.40, PaCO2 40 mm Hg, PaO2 94 mm Hg, HCO3 22 mEq/L: These values indicate a normal ABG, which would not be expected in a client with progressive COPD. Patients with chronic lung disease typically present with acid-base imbalances due to respiratory failure, so this finding suggests the client is not exhibiting the expected complications of COPD.
D. pH 7.38, PaCO2 45 mm Hg, PaO2 88 mm Hg, HCO3 26 mEq/L: Although these findings show mild acidosis, the PaCO2 is within normal limits, indicating that this patient may not be experiencing significant respiratory failure. In advanced COPD, one would expect to see a higher PaCO2 and more pronounced acidosis, making this option less characteristic of a patient with progressive COPD compared to option B.

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A nurse is taking a class about patient safety. The nurse should recognize that which of the following statements is true regarding patient safety and prevention of harm?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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