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A nurse is caring for a group of patients. Which patient should the nurse see first?

A.

A patient with hypercapnia wearing an oxygen mask

B.

A patient with a chest tube ambulating with the chest tube unclamped

C.

A patient with thick secretions being tracheal suctioned first and then orally

D.

A patient with a new tracheostomy and tracheostomy obturator at bedside

Answer and Explanation

The Correct Answer is B

A. A patient with hypercapnia requires monitoring, but wearing an oxygen mask indicates some level of intervention is in place.  

 

B. A patient with a chest tube should never ambulate with the chest tube unclamped, as this can lead to a collapsed lung and respiratory distress; thus, this patient should be prioritized.  

 

C. While a patient with thick secretions may need suctioning, this is not as critical as ensuring the safety of a patient with an unclamped chest tube. 

 

D. A patient with a new tracheostomy requires monitoring, but the presence of the obturator indicates readiness for emergencies; this does not take priority over the safety of the patient with the chest tube.


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View Related questions

Correct Answer is C

Explanation

A. Competent nurses have typically worked in a specific area for 2-3 years, developing an understanding of patient care specific to that field.

B. Proficient nurses have advanced understanding and experience, allowing them to see care situations as whole parts rather than in separate steps.

C. In a new specialty area, the nurse is considered a novice, as they lack experience and expertise in obstetrics despite previous nursing experience.

D. Advanced beginners have some experience but still need support; however, this would apply only if the nurse had some previous obstetric experience.

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

Explanation

A. This statement is incorrect; the nurse should touch only the inside of the first glove while putting it on to maintain sterility.

B. The outer glove package should be removed by tearing it open to access the gloves inside.

C. After putting on the second glove, interlocking hands helps to ensure that the gloves remain sterile.

D. Slipping fingers underneath the second glove cuff with the gloved dominant hand helps to keep the gloves sterile while donning them.

E. Laying the glove package on a clean flat surface above the waistline prevents contamination.

F. The dominant hand should be gloved first to maintain a sterile technique, as the dominant hand is used for the procedure.

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