Nokea
List at least four factors in this situation that contribute to health disparities.
- A. Geographic isolation (living 'up the mountain')
- B. Limited access to healthcare (refusal of medical care)
- C. Low socioeconomic status (barely making a living)
- D. Lack of social support (children rarely visit)
Correct Answer: D
Rationale: Health disparities are influenced by geographic isolation, lack of access to healthcare, low socioeconomic status, and lack of social support. These factors collectively exacerbate her condition.
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Which patient is ready for discharge from Phase I PACU care to the clinical unit?
- A. Arouses easily, pulse is 112 bpm, respiratory rate is 24, dressing is saturated, SaO2 is 88%
- B. Difficult to arouse, pulse is 52, respiratory rate is 22, dressing is dry and intact, SaO2 is 91%
- C. Awake, vital signs stable, dressing is dry and intact, no respiratory depression, SaO2 is 92%
- D. Arouses, blood pressure (BP) higher than preoperative and respiratory rate is 10, no excess bleeding, SaO2 is 90%
Correct Answer: C
Rationale: Stable vital signs, intact dressing, and adequate oxygenation indicate readiness for transfer.
Why does the circulating nurse remove a tightly rolled blanket from under Mrs. West’s knees?
- A. Prevent damage to nerves and circulation
- B. Provide a flat surface for the sterile field
- C. Stretch lower leg muscles to prevent strain
- D. Facilitate access to the surgical site
Correct Answer: A
Rationale: Improper positioning can cause nerve compression and circulatory issues.
At the end of the surgical procedure, the perioperative nurse evaluates the patient's response to the nursing care delivered during the perioperative period. What reflects a positive outcome related to the patient's physical status?
- A. The patient's right to privacy is maintained.
- B. The patient's care is consistent with the perioperative plan of care.
- C. The patient receives consistent and comparable care regardless of the setting.
- D. The patient's respiratory function is consistent with or improved from baseline levels established preoperatively.
Correct Answer: D
Rationale: Improved or consistent respiratory function indicates effective perioperative care.
Which vitamin does a client lack if there is a problem with the absorption of calcium?
- A. Vitamin A
- B. Vitamin B
- C. Vitamin C
- D. Vitamin D
Correct Answer: D
Rationale: Vitamin D is essential for calcium absorption in the intestines. A deficiency impairs this process.
You have been caring for a patient with osteomyelitis. In preparing the patient for discharge, you include teaching about
- A. The importance of multiple-week treatment with antibiotics.
- B. The side effects and interactions of the medications.
- C. Symptoms that necessitate a call to the physician, nurse practitioner, or physician assistant.
- D. All of the above.
Correct Answer: D
Rationale: Comprehensive education ensures adherence to treatment and recognition of complications.