Correct Answer: B

Rationale: Monitoring oxygen saturation with pulse oximetry is essential for preventing respiratory depression in a patient prescribed an opioid analgesic. Opioid analgesics can suppress the respiratory drive, leading to respiratory depression. By constantly monitoring the patient's oxygen saturation levels with pulse oximetry, nurses can promptly detect any signs of respiratory depression and intervene early to prevent serious complications. This allows for timely adjustments in the medication dosage or administration of other supportive measures to maintain adequate oxygenation and prevent respiratory compromise. Administering naloxone prophylactically may be necessary in case of an opioid overdose but is not typically done as a preventive measure. Encouraging deep breathing exercises can help prevent respiratory complications postoperatively but may not be sufficient in the presence of opioid-induced respiratory depression. Administering bronchodilators as needed is not directly related to preventing respiratory depression caused by opioid analgesics.

Correct Answer: C

Rationale: The patient with a history of congestive heart failure and dyspnea should be seen FIRST by Nurse Pedrito. Congestive heart failure is a serious condition that can lead to acute exacerbations and requires prompt assessment and management. Dyspnea (shortness of breath) is a common symptom of heart failure and can indicate worsening cardiac function or fluid overload, which requires immediate attention to prevent further complications. Timely assessment and intervention for heart failure exacerbations can help prevent hospital admissions and improve patient outcomes. Therefore, prioritizing this patient for assessment and intervention is crucial to ensure their safety and well-being.

Correct Answer: B

Rationale: The distribution of patient satisfaction forms by Nurse Jen directly relates to patient care. By collecting feedback from admitted patients, the hospital can assess the quality of care being provided and identify areas for improvement. This initiative falls under patient care as it focuses on enhancing the overall experience and well-being of the patients, aligning with quality standards that prioritize patient satisfaction and outcomes.

Correct Answer: A

Rationale: The recommended position for a conscious patient experiencing an acute asthma exacerbation is the High-Fowler's position. This position involves the patient sitting upright or almost upright at about a 90-degree angle. The High-Fowler's position helps improve ventilation by expanding the lungs and maximizing airflow in and out of the airways. It also reduces the work of breathing in patients with asthma by allowing gravity to assist in moving air in and out of the lungs more easily. Additionally, this position can help alleviate shortness of breath and improve oxygenation in patients experiencing an asthma exacerbation.

Correct Answer: A

Rationale: Option A is the most appropriate nursing intervention to facilitate effective communication with the 80-year-old male patient. This approach involves waiting for the patient to be fully awake before discussing important information about the surgery and potential post-surgery events with both the patient and family. This allows the patient to fully comprehend the information provided and ask any necessary questions. Effective communication is crucial in promoting patient understanding and cooperation, especially in older adults who may require additional time to process information due to factors such as age-related cognitive changes. It is important to ensure that the patient receives clear and accurate information to support their recovery process and reduce anxiety.