Mr. Gary moved from hospital to rehab with a care plan. This is an example of?
- A. Care transition
- B. Chronic disease management
- C. Health promotion
- D. Nursing informatics
Correct Answer: A
Rationale: Moving from hospital to rehab with a plan is care transition (A) setting shift, per definition. Management (B) ongoing, promotion (C) preventive, informatics (D) tech not transition-specific. A fits care handoff, making it correct.
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The nurse questions a doctors order of Morphine sulfate 50 mg, IM for a client with pancreatitis. Which role best fit that statement?
- A. Change agent
- B. Client advocate
- C. Case manager
- D. Collaborator
Correct Answer: B
Rationale: Questioning an inappropriate order like morphine for pancreatitis, which worsens sphincter of Oddi spasm reflects the client advocate role. Nurses protect patient rights and safety by challenging harmful directives, ensuring optimal care (e.g., suggesting alternatives like meperidine). This differs from change agent (lifestyle shifts), case manager (coordination), or collaborator (teamwork), emphasizing advocacy's focus on patient well-being, a core ethical duty in nursing.
The physician has ordered a culture specimen from a client with a suspected urinary tract infection. The nurse is aware that the specimen should be obtained:
- A. From the first morning voiding
- B. Using a sterile cotton ball placed in the client's vaginal area
- C. From the client's indwelling catheter port
- D. During the client's midstream voiding
Correct Answer: D
Rationale: Midstream voiding provides a clean-catch urine specimen for UTI culture, minimizing contamination first voiding risks sediment, vaginal cotton is irrelevant, and catheter ports are for indwelling cases. Nurses instruct this technique, ensuring accurate pathogen identification, critical for effective treatment.
Which of the following statement is TRUE about patient safety?
- A. Only about medication
- B. Prevents harm in care
- C. Not a nursing concern
- D. All of the above
Correct Answer: B
Rationale: Patient safety prevents harm in care (B), per standards e.g., fall prevention. Not just meds (A), is nursing concern (C), not all (D) broad focus. B truly defines safety's aim, making it correct.
Mr. Gary's insurance paid for his hospital stay. This is an example of?
- A. Health care financing
- B. Cost-effectiveness
- C. Health policy
- D. Patient education
Correct Answer: A
Rationale: Insurance paying is health care financing (A) funding services, per definition. Cost-effectiveness (B) value, policy (C) rules, education (D) teaching not funding-specific. A fits Mr. Gary's care support, making it correct.
The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the:
- A. Rectus femoris muscle
- B. Vastus lateralis muscle
- C. Deltoid muscle
- D. Dorsogluteal muscle
Correct Answer: B
Rationale: The vastus lateralis muscle is the preferred site for vitamin K injection in newborns, offering a large, safe muscle mass away from nerves and vessels, standard for intramuscular prophylaxis against hemorrhagic disease. Rectus femoris is smaller, deltoid underdeveloped, and dorsogluteal risky near sciatic nerve. Nurses use this site for efficacy and safety, teaching parents its purpose in clotting support.