A newly graduated nurse in the hospital states that, since she is so new, she cannot participate in quality improvement (QI) projects. What response by the precepting nurse is best?

Correct Answer: B

Rationale: The correct answer is B because even as a new nurse, one can contribute to improving care by implementing activities. This response encourages the new nurse to actively engage in the quality improvement process, fostering a sense of ownership and commitment to enhancing patient outcomes. Choice A is incorrect as participation in QI projects is not solely based on tenure. Choice C is incorrect as identifying indicators requires knowledge and experience. Choice D is incorrect as it suggests a specific assignment rather than empowering the new nurse to take initiative in improving care.

Correct Answer: C

Rationale: The correct answer is C because maintaining a nonjudgmental attitude promotes honest communication with the client. This is crucial in building trust and rapport, allowing the client to feel comfortable sharing important information about their health and lifestyle. It lays the foundation for effective care and support. Choice A is not the most important action as quitting smoking, although important, may not be the immediate priority during the initial interview. Choice B, while valuable, is not as crucial as fostering an open and honest relationship with the client. Choice D, although important, may not be the primary focus during the initial meeting and may not promote the necessary trust between the client and nurse.

Correct Answer: C

Rationale: The correct answer is C because reduced breath sounds after an open lung biopsy could indicate a potential complication like pneumothorax. In this situation, it is crucial for the nurse to call the physician immediately for further assessment and intervention. This prompt action can help prevent worsening of the client's condition and ensure timely treatment. Choice A is incorrect because applying oxygen and pulse oximetry is not directly addressing the potential complication of reduced breath sounds. Choice B is incorrect because withholding pain medication based solely on a low heart rate is not appropriate without further assessment. Choice D is incorrect because decreasing oxygen flow rate without proper assessment could be harmful if the client is experiencing respiratory distress.

Correct Answer: D

Rationale: The correct answer is D: Occupation & hobbies. This information is crucial as certain occupations or hobbies may expose the client to respiratory hazards, influencing their respiratory status. The healthcare professional needs to assess potential respiratory risks in the client's environment. A: Average daily fluid intake is important for overall health but not directly related to respiratory status assessment. B: Neck circumference is more relevant for assessing risk of obstructive sleep apnea rather than overall respiratory status. C: Height & weight are important for assessing overall health and potential respiratory issues like obesity, but not as immediate as assessing respiratory hazards in the client's daily activities.

Correct Answer: B

Rationale: The correct answer is B: Assess the client's level of consciousness. This is the priority because changes in consciousness can indicate deteriorating respiratory status or potential respiratory distress. Next steps would depend on the assessment findings. A: Encouraging fluid intake is important but not the first priority. C: Raising the head of the bed helps with breathing but doesn't address potential immediate respiratory distress. D: Providing humidified oxygen may be necessary but assessing consciousness comes first to determine the urgency of oxygen therapy.