The Safety Strategy: Preventing Complications

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Clinical scenario questions

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RNPRPEPBESTIE

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The Safety Strategy: Preventing Complications


Froggy Jumps The Safety Strategy: Preventing ComplicationsOnline version Clinical scenario questions by RNPRPEPBESTIE 1 The nurse observes a patient with type 1 diabetes who is breathing rapidly and appears very thirsty with nausea and fruity-smelling breath. The patient is tired and slightly confused. Which action should the nurse perform FIRST? a Offer a small carbohydrate snack and reassess later. b Check the glucose level and begin ordered fluid replacement. c Encourage deep breathing exercises to slow respirations. 2 The nurse is caring for a patient with major depressive disorder who states, “I do not see the point anymore.” The patient appears withdrawn and asks to leave the unit for fresh air. What is the nurse’s PRIORITY action to prevent harm? a Encourage the patient to journal thoughts and feelings. b Provide a warm blanket and reduce environmental stimuli. c Stay with the patient and complete an immediate safety assessment. 3 A toddler with bronchiolitis is breathing rapidly with the use of abdominal muscles. The child refuses fluids and appears more fatigued than earlier in the day. What is the BEST action to prevent respiratory deterioration? a Encourage a nap and reassess after rest. b Position the child upright and apply humidified oxygen. c Offer juice and attempt to calm the child. 4 The nurse assesses a postpartum patient who reports dizziness. The pad is saturated within one hour, and the uterus feels soft on palpation. Which action should the nurse take to prevent further blood loss? a Massage the fundus and evaluate the bleeding response. b Ask the patient to rest while documenting findings. c Provide oral fluids and encourage slow position changes. 5 The nurse is caring for a post-operative abdominal surgery patient who is breathing shallow, guarding the incision, and avoiding movement due to pain. The patient has not performed breathing exercises today. What is the PRIORITY action? a Manage the patient’s pain and assist with breathing exercises now. b Ask family members to encourage mobility later. c Help the patient lie flat to promote rest and comfort. 6 The nurse is assessing a patient with heart failure who reports new shortness of breath when lying flat. Crackles are heard at the lung bases and edema has increased since yesterday. Which action should the nurse take FIRST? a Elevate the head of the bed to promote easier breathing. b Provide water and reassess the patient in thirty minutes. c Encourage the patient to ambulate to improve circulation.

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The Safety Strategy: Preventing Complications

Froggy Jumps

About this activity

Created by

Download the paper version to play

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The Safety Strategy: Preventing ComplicationsOnline version

by RNPRPEPBESTIE

The nurse observes a patient with type 1 diabetes who is breathing rapidly and appears very thirsty with nausea and fruity-smelling breath. The patient is tired and slightly confused. Which action should the nurse perform FIRST?

The nurse is caring for a patient with major depressive disorder who states, “I do not see the point anymore.” The patient appears withdrawn and asks to leave the unit for fresh air. What is the nurse’s PRIORITY action to prevent harm?

A toddler with bronchiolitis is breathing rapidly with the use of abdominal muscles. The child refuses fluids and appears more fatigued than earlier in the day. What is the BEST action to prevent respiratory deterioration?

The nurse assesses a postpartum patient who reports dizziness. The pad is saturated within one hour, and the uterus feels soft on palpation. Which action should the nurse take to prevent further blood loss?

The nurse is caring for a post-operative abdominal surgery patient who is breathing shallow, guarding the incision, and avoiding movement due to pain. The patient has not performed breathing exercises today. What is the PRIORITY action?

The nurse is assessing a patient with heart failure who reports new shortness of breath when lying flat. Crackles are heard at the lung bases and edema has increased since yesterday. Which action should the nurse take FIRST?