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A nurse is interested in locating reliable information concerning noninvasive blood glucose monitoring. Information is located, and the author is a scientist who conducted studies within the last year on the effectiveness of a particular noninvasive blood glucose monitor. The scientist received funding from a pharmaceutical company to support the studies. The URL indicates the pharmaceutical company site.com. The nurse is concerned about this information's:
- A. authority.
- B. objectivity.
- C. accuracy.
- D. currency.
Correct Answer: B
Rationale: The correct answer is B: objectivity. The nurse should be concerned about the objectivity of the information due to the potential bias introduced by the funding received from a pharmaceutical company. This could influence the scientist's findings and conclusions to favor the interests of the company, affecting the accuracy of the information. Authority (choice A) refers to the expertise of the author, not the potential bias. Accuracy (choice C) is impacted by objectivity and the potential conflict of interest. Currency (choice D) relates to how up-to-date the information is, which is not the main concern in this scenario.
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A community in the New Madrid fault zone experiences an earthquake resulting in injuries from propelled objects and abrasions for many victims. The local supply of antibiotics is quickly exhausted. Local authorities would contact the:
- A. Commissioned Corps Readiness Force.
- B. Strategic National Stockpile.
- C. Department of Homeland Security.
- D. local Young Men's Christian Association (YMCA).
Correct Answer: B
Rationale: The correct answer is B: Strategic National Stockpile. This is because the Strategic National Stockpile is a federal repository of antibiotics, medical supplies, and equipment to respond to public health emergencies. In this scenario, the local supply of antibiotics is exhausted, so contacting the Strategic National Stockpile would provide the necessary antibiotics to treat the injured victims.
Explanation for why other choices are incorrect:
A: The Commissioned Corps Readiness Force is a team of health professionals who can be deployed during public health emergencies, but they do not specifically store or distribute medical supplies like antibiotics.
C: The Department of Homeland Security focuses on national security and disaster response, but they do not directly handle the distribution of medical supplies like antibiotics.
D: The local Young Men's Christian Association (YMCA) is a community organization that is not equipped to provide medical supplies for emergency response situations like this earthquake scenario.
A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 55; CO , 55; HCO, 28 mEq/L, and O , 98%. Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to: The above question represents which level of Bloom's taxonomy?
- A. Knowledge
- B. Comprehension
- C. Application
- D. Analysis
Correct Answer: C
Rationale: The correct answer is C: Application. In this scenario, the nurse needs to apply knowledge of arterial blood gas results and assessment findings to determine appropriate actions. With the patient having abnormal ABG results and visible carotid artery pulsation, the nurse must recognize impending respiratory failure and act promptly, such as notifying the healthcare provider or respiratory therapist. This requires applying critical thinking skills to make decisions based on collected data.
Incorrect choices:
A: Knowledge - Choosing this option implies only recalling facts, which is not sufficient in this situation.
B: Comprehension - This choice suggests understanding the information given, but it does not involve applying that understanding to make decisions.
D: Analysis - While analysis involves breaking down information, the immediate action needed in this case is more about applying knowledge to prevent a potential crisis, rather than deeply analyzing the situation.
A nurse who wishes to practice in another state: (select all that apply)
- A. must retake the NCLEX-RN for that state.
- B. should determine whether the state is a compact state.
- C. may obtain licensure by endorsement.
- D. must revoke licensure in the current state because nurses cannot be licensed in more than one state concurrently.
Correct Answer: B
Rationale: Step-by-step rationale:
1. Determining if the state is a compact state is important because nurses from compact states can practice in other compact states without obtaining additional licenses.
2. If the state is not a compact state, the nurse can obtain licensure by endorsement, which means transferring their license to the new state without retaking the NCLEX-RN.
3. Revoking licensure in the current state is not necessary, as nurses can hold licenses in multiple states through either compact agreements or endorsement.
Therefore, the correct answer is B. Choice A is incorrect because the nurse does not have to retake the NCLEX-RN. Choice C is incorrect because obtaining licensure by endorsement is an option. Choice D is incorrect as nurses can hold licenses in multiple states.
Patients with heart failure have extended lengths of stay and are often readmitted shortly after they have been discharged. To improve quality of care, a type of "road map" that included all elements of care for this disease and that standardized treatment by guiding daily care was implemented. This road map is referred to as a(n):
- A. benchmark.
- B. critical pathway.
- C. algorithm.
- D. case management.
Correct Answer: B
Rationale: The correct answer is B: critical pathway. Critical pathways are structured, multidisciplinary care plans that detail essential steps in the care of patients with specific conditions, such as heart failure. They standardize treatment by outlining the sequence and timing of interventions, tests, and medications, helping to improve efficiency and quality of care. Critical pathways guide daily care by providing a roadmap for healthcare providers to follow, ensuring that patients receive appropriate and timely interventions.
Explanation of other choices:
A: Benchmark - Benchmarks are standards or reference points used for comparison, not a structured care plan like a critical pathway.
C: Algorithm - Algorithms are step-by-step procedures for solving problems, not necessarily a comprehensive care plan like a critical pathway.
D: Case management - Case management involves coordinating care and services for individual patients, not a standardized care plan for a specific disease like a critical pathway.
Faculty comes to class to present information about joining the Student Nurses Association (SNA). A student is heard saying, "Why join this organization? It is just a bunch of students like us. I'll wait and join the real nursing organization after graduation." This student is not aware of which benefits of SNA? (select all that apply)
- A. Members are eligible to sit for the licensure examination at a reduced rate.
- B. Leadership skills can be refined by working with other schools of nursing.
- C. The National SNA provides discounted rates for study abroad opportunities.
- D. A global view of nursing can be obtained through networking internationally.
Correct Answer: A
Rationale: The correct answer is A: Members are eligible to sit for the licensure examination at a reduced rate. This benefit is specific to the Student Nurses Association (SNA) and is not available in other nursing organizations. It provides a tangible advantage for members to pursue licensure after graduation, which is a critical step in their nursing career.
Incorrect choices:
B: While leadership skills can be refined by working with other schools of nursing through SNA, this is not a unique benefit that distinguishes SNA from other organizations.
C: The National SNA providing discounted rates for study abroad opportunities is a beneficial offering, but it does not address the immediate benefit of reduced licensure examination rates.
D: Obtaining a global view of nursing through networking internationally is a valuable experience, but it does not directly relate to the licensure examination benefit provided by SNA.