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What condition is the patient most likely experiencing, what two actions should the nurse take to address that condition, and what two parameters should the nurse monitor to assess the patient’s progress?

Potential Condition: Bleeding, Actions to Take: Observe surgical dressing, obtain blood cultures, Parameters to Monitor: Blood pressure, Patient’s performance of lung expansion exercises.

Potential Condition: Air leak, Actions to Take: Check the drainage system, Parameters to Monitor: Respiratory status, Chest tube drainage.

Potential Condition: Pulmonary edema.

Potential Condition: Pneumonia.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While bleeding is a potential complication following a thoracotomy, the actions and parameters listed do not align with the care of a patient with a chest tube.
Choice B rationale
An air leak is a potential complication following a thoracotomy with chest tube insertion. The nurse should check the drainage system and monitor the patient’s respiratory status and chest tube drainage.
Choice C rationale
Pulmonary edema is a potential complication following a thoracotomy, but the actions and parameters listed do not align with the care of a patient with a chest tube.
Choice D rationale
Pneumonia is a potential complication following a thoracotomy, but the actions and parameters listed do not align with the care of a patient with a chest tube.

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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.

A. “If you keep interrupting me, I’ll report you to our supervisor for disciplinary action.”. B. “You always interrupt me when I’m talking. Can’t you see how disrespectful that is?” C. “I can’t work with someone who constantly takes over conversations. You need to find another partner.”. D. “I feel frustrated when you interrupt me. It’s important for us to take turns speaking during patient discussions.”.

Correct Answer is D

Explanation

Choice A rationale
This response is more threatening than assertive. Threatening disciplinary action does not address the issue in a constructive manner and may create further conflict.
Choice B rationale
This response is more accusatory than assertive. It may make the colleague defensive and does not encourage open communication.
Choice C rationale
This response is more avoidant than assertive. It does not address the issue directly with the colleague and does not promote effective teamwork.
Choice D rationale
This response is assertive. It communicates the nurse’s feelings and needs clearly and respectfully, without blaming or threatening the colleague. It promotes open communication and effective teamwork.

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What condition is the patient most likely experiencing, what two actions should the nurse take to address that condition, and what two parameters should the nurse monitor to assess the patient’s progress?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 nurse is working with a colleague who frequently interrupts and dominates during patient care discussions. The nurse wants to address this behavior assertively to ensure effective teamwork. Which response by the nurse demonstrates assertive behavior?

Correct Answer is D

Explanation

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