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As the American population ages, nurses expect see more patients admitted to long-term care facilities in need of palliative care. Regulations now in place that govern how the care in these facilities is both organized and reimbursed emphasize what aspect of care?

  • A. Ongoing acute care
  • B. Restorative measures
  • C. Mobility and socialization
  • D. Incentives to palliative care
Correct Answer: D

Rationale: The correct answer is D: Incentives to palliative care. Palliative care focuses on improving the quality of life for patients with serious illnesses by addressing their physical, emotional, and spiritual needs. As the American population ages, the emphasis on palliative care in long-term care facilities is crucial. Regulations emphasizing incentives for palliative care ensure that patients receive appropriate symptom management, comfort care, and support to enhance their overall well-being.

Choice A: Ongoing acute care is not the correct answer because palliative care is different from acute care, which focuses on treating the underlying medical condition.

Choice B: Restorative measures are not the correct answer as palliative care aims to improve quality of life rather than focusing on restoring physical function.

Choice C: Mobility and socialization are important aspects of care in long-term facilities, but palliative care goes beyond these aspects to provide holistic support for patients facing serious illnesses.

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A nurse exchanges information with the oncomingnurse about a patient’s care. Which action did the nurse complete?

  • A. A verbal report
  • B. An electronic record entry
  • C. A referral
  • D. An acuity rating
Correct Answer: A

Rationale: The correct answer is A: A verbal report. This is because exchanging information verbally between nurses allows for real-time communication, ensuring important details are accurately conveyed. Electronic record entry (B) involves documenting information in the patient's record but does not involve direct communication. Referral (C) refers to transferring the patient's care to another healthcare provider. Acuity rating (D) is a tool used to determine the severity of a patient's condition and does not involve exchanging information between nurses.

Initiate feeding.

  • A. 4, 2, 1, 5, 3
  • B. 2, 4, 1, 3, 5
  • C. 1, 4, 2, 3, 5
  • D. 2, 1, 4, 5, 3
Correct Answer: B

Rationale: The correct answer is B (2, 4, 1, 3, 5) because it follows the correct sequential order for initiating feeding. First, you need to prepare the food (2), then set up the feeding area (4), followed by inviting the person to eat (1), serving the food (3), and finally allowing them to eat (5). The other choices do not adhere to the logical sequence required for initiating feeding. Choice A and D have incorrect sequences of steps, while Choice C has steps 1 and 4 switched, which disrupts the proper order of initiating feeding.

A nurse is caring for a pregnant patient with active herpes. The teaching plan for this patient should include which of the following?

  • A. Babies delivered vaginally may become infected with the virus.
  • B. Recommended treatment is excision of the herpes lesions.
  • C. Pain generally does not occur with a herpes outbreak during pregnancy.
  • D. Pregnancy may exacerbate the mothers symptoms, but poses no risk to the infant.
Correct Answer: A

Rationale: The correct answer is A because babies can become infected with the herpes virus if delivered vaginally. During childbirth, the virus can be passed to the infant, leading to serious health complications. This information is crucial for the patient to understand in order to make informed decisions about delivery options.

Choice B is incorrect because excision of herpes lesions is not the recommended treatment during pregnancy. Treatment typically involves antiviral medications to manage symptoms and reduce the risk of transmission to the baby.

Choice C is incorrect because herpes outbreaks can indeed be painful during pregnancy due to hormonal changes and a weakened immune system. Pain management strategies should be discussed as part of the teaching plan.

Choice D is incorrect because pregnancy can pose a risk to the infant if the mother has active herpes. It is important to manage the condition appropriately to prevent transmission to the baby.

A patient is postoperative day 6 following tympanoplasty and mastoidectomy. The patient has phoned the surgical unit and states that she is experiencing occasional sharp, shooting pains in her affected ear. How should the nurse best interpret this patients complaint?

  • A. These pains are an expected finding during the first few weeks of recovery.
  • B. The patients complaints are suggestive of a postoperative infection.
  • C. The patient may have experienced a spontaneous rupture of the tympanic membrane.
  • D. The patients surgery may have been unsuccessful.
Correct Answer: A

Rationale: The correct answer is A. Postoperative day 6 following tympanoplasty and mastoidectomy is still within the early phase of recovery, where occasional sharp, shooting pains in the affected ear can be expected due to the healing process. Here's a step-by-step rationale:
1. Timing: It is only day 6 post-surgery, so it is normal to experience some pain as part of the healing process.
2. Nature of pain: Sharp, shooting pains are common post-surgery due to tissue healing and nerve regeneration.
3. Lack of other symptoms: The patient did not report any other concerning symptoms like fever or discharge, which would be more indicative of an infection.
4. Unlikely complications: Spontaneous rupture of the tympanic membrane or unsuccessful surgery would typically present with more severe and consistent symptoms.

Summary:
- B: Unlikely as there are no other signs of infection.
- C: Unlikely as the pain is described as occasional and sharp.
- D:

A patient has been diagnosed with erectile dysfunction; the cause has been determined to be psychogenic. The patients interdisciplinary plan of care should prioritize which of the following interventions?

  • A. Penile implant
  • B. PDE-5 inhibitors
  • C. Physical therapy
  • D. Psychotherapy
Correct Answer: D

Rationale: The correct answer is D: Psychotherapy. In the case of psychogenic erectile dysfunction, the underlying cause is psychological rather than physical. Psychotherapy helps address the mental health factors contributing to the condition, such as anxiety or relationship issues. It can help the patient understand and manage their emotions, thoughts, and behaviors related to the dysfunction. Penile implant (A) and PDE-5 inhibitors (B) are more appropriate for physical causes of erectile dysfunction. Physical therapy (C) focuses on musculoskeletal conditions and would not be effective for psychogenic causes.

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