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A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
- A. There is stratification of communication in a directed manner between nursing staff and administration.
- B. There is increased job satisfaction of nurses, with a lower staff turnover rate.
- C. Physicians are certified in their respective specialty areas.
- D. All nurses have baccalaureate degrees and certification in their clinical specialty area.
Correct Answer: B
Rationale: The correct answer is B because increased job satisfaction and lower staff turnover are key indicators of Magnet status, which focuses on nursing excellence and quality care. This is supported by research showing a correlation between Magnet hospitals and positive nurse outcomes. Choices A, C, and D are incorrect as they do not directly align with the criteria for Magnet status, which primarily emphasizes nursing excellence rather than physician certification or educational requirements for nurses.
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Which condition is inappropriate to treat with exogenous progesterone?
- A. Thyroid dysfunction
- B. Recent miscarriage
- C. PCOD
- D. Oocyte retrieval
Correct Answer: A
Rationale: Thyroid dysfunction is treated with Synthroid for anovulation, not with progesterone.
A nurse is caring for a patient with pyelonephritis. What does the nurse identify as the most common cause?
- A. Escherichia coli
- B. Neisseria gonorrhoeae
- C. Chlamydia trachomatis
- D. Candida albicans
Correct Answer: A
Rationale: The correct answer is A: Escherichia coli. In pyelonephritis, bacteria typically ascend from the lower urinary tract to the kidneys. E. coli is the most common cause due to its prevalence in the gastrointestinal tract and ability to cause urinary tract infections. Neisseria gonorrhoeae and Chlamydia trachomatis are more commonly associated with sexually transmitted infections, not pyelonephritis. Candida albicans is a fungal infection and is not a common cause of pyelonephritis.
Which description of postpartum restoration or healing times is accurate?
- A. The cervix shortens, becomes firm, and returns to form within a month postpartum.
- B. Vaginal rugae reappear by 3 weeks postpartum.
- C. Most episiotomies heal within a week.
- D. Hemorrhoids usually decrease in size within 2 weeks of childbirth.
Correct Answer: B
Rationale: Vaginal rugae reappear by 3 weeks postpartum, though they are never as prominent as in nulliparous women.
Expectant parents ask a prenaNtal RnursIe eGducaBto.rC, “WMhich setting for childbirth limits the U S N T O amount of parent–infant interaction?” Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting?
- A. Birth center
- B. Home birth
- C. Traditional hospital birth
- D. Labor, birth, and recovery room
Correct Answer: C
Rationale: Rationale:
1. Traditional hospital birth setting often involves medical interventions that can limit parent-infant interaction, such as continuous fetal monitoring and medication administration.
2. These interventions may restrict movement and bonding opportunities between the parent and infant during labor and immediately after birth.
3. In contrast, birth center and home birth settings typically prioritize natural childbirth experiences with minimal interventions to encourage bonding and parent-infant interaction.
4. Labor, birth, and recovery room, while providing a more private setting than a traditional hospital, may still involve medical interventions that can impact parent-infant interaction.
Summary:
A: Birth center and B: Home birth promote parent-infant interaction. D: Labor, birth, and recovery room may still involve interventions. C: Traditional hospital birth setting often limits parent-infant interaction due to medical interventions.
Which sexually transmitted infection (STI) is the most commonly reported in American women?
- A. Gonorrhea
- B. Syphilis
- C. Chlamydia
- D. Candidiasis
Correct Answer: C
Rationale: Chlamydia is the most common and fastest spreading STI among American women, with an estimated 3 million new cases each year.