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The patient will be placed under moderate sedation to allow realignment of a fracture in the emergency department. When the family asks about this anesthesia, what should the nurse tell them?
- A. Includes inhalation agents
- B. Induces high levels of sedation
- C. Frequently used for traumatic injuries
- D. Patients remain responsive and breathe without assistance
Correct Answer: D
Rationale: Moderate sedation keeps patients responsive and maintains spontaneous breathing.
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Which quality of care measures influence the payment for health care services by third-party payers (select all that apply)?
- A. Clinical outcomes
- B. Regulatory agencies
- C. Use of evidence-based practice
- D. Occurrence of preventable conditions
Correct Answer: A
Rationale: Third-party payers prioritize clinical outcomes, evidence-based practice adoption, and minimizing preventable conditions to ensure value-based care.
After administering injections of penicillin, the nurse should ask the client to wait at least __ minutes before allowing the client to leave the healthcare facility.
- A. 12
- B. 15
- C. 5
- D. 30
Correct Answer: B
Rationale: The rationale is that waiting 15 minutes allows time to observe for any adverse reactions to the medication.
Priority Decision: A patient in the PACU has emergence delirium manifested by agitation and thrashing. What should the nurse assess for first in the patient?
- A. Hypoxemia
- B. Neurologic injury
- C. Distended bladder
- D. Cardiac dysrhythmias
Correct Answer: A
Rationale: Hypoxemia is a common cause of agitation and delirium during emergence from anesthesia.
Priority Decision: The husband and daughter of a Hispanic woman dying from pancreatic cancer refuse to consider using hospice care. What is the first thing the nurse should do?
- A. Assess their understanding of what hospice care services are.
- B. Ask them how they will care for the patient without hospice care.
- C. Talk directly to the patient and family to see if she can change their minds.
- D. Accept their decision since they are Hispanic and prefer to care for their own.
Correct Answer: A
Rationale: The nurse should assess their understanding of hospice care services to ensure they are making an informed decision based on accurate information rather than assumptions or cultural biases.
During the rehabilitative phase following his cerebrovascular accident, Mr. K. is taught measures to relieve or prevent constipation. Which of these statements indicates that Mr. K. needs further health teaching?
- A. I eat whole-wheat bread with my meals.'
- B. I eat fruit three times a day.'
- C. I don't drink fluids after 4 P.M.'
- D. I don't like to take enemas.'
Correct Answer: C
Rationale: Restricting fluid intake after 4 P.M. can contribute to dehydration and constipation, making this statement indicative of the need for further education on proper hydration practices.