A 26-year-old patient with diabetes rides a bicycle to and from work every day. Which site should the nurse teach the patient to administer the morning insulin?

Correct Answer: C

Rationale: The correct site to administer morning insulin for a patient who rides a bicycle daily is the abdomen. The abdomen has consistent and faster absorption rates due to increased blood flow and muscle activity during exercise, ensuring better insulin absorption and efficacy. Insulin absorption is slower in the thigh and buttock due to less muscle movement and blood flow. The upper arm may not be as convenient for self-administration and may result in inconsistent absorption.

Correct Answer: D

Rationale: The correct answer is D because reviewing the information with the client and family should be addressed first to ensure understanding and clarity. This step allows for immediate feedback and corrections if needed, promoting effective education. Taking vital signs (A) can be done after educating the client. Answering questions (B) and evaluating teaching (C) come after providing the necessary information.

Correct Answer: A

Rationale: The correct answer is A because having a weekly inspection checklist for oxygen equipment ensures the client is monitoring the equipment regularly for safety. Choice B is incorrect as storing an oxygen tank on its side can be dangerous. Choice C is not directly related to oxygen safety. Choice D is incorrect because wool blankets can create static electricity, which is a fire hazard.

Correct Answer: C

Rationale: The correct answer is C: Bioterrorism. This is because bioterrorism poses a serious threat to public health and healthcare systems worldwide, requiring preparedness and response strategies. - A: Decreased immigration is not a significant emerging challenge to changes in healthcare. - B: Nursing staff shortages are an ongoing issue but not necessarily a new emerging challenge. - D: Increased surgical procedures may strain resources but are not a specific emerging challenge like bioterrorism.

Correct Answer: A

Rationale: The correct answer is A because it addresses the issue directly and effectively. By talking individually with your friends and explaining the need for equitable patient assignments, you are promoting fairness and transparency in your delegation process. This approach fosters open communication and helps maintain professional boundaries. Choice B is incorrect because suppressing your feelings of anger can lead to further tension and unresolved conflicts. Choice C is inappropriate as it involves gossiping about other staff members, which is unprofessional and can create additional problems. Choice D is not a proactive solution and avoiding addressing the issue will only prolong the negative impact on your relationships and work environment.

Correct Answer: C

Rationale: The correct answer is C: Glomerular filtration rate is decreased. This finding is most important to discuss because metformin can potentially worsen kidney function, especially in older adults. A decreased GFR could indicate renal impairment, making it necessary to reevaluate the medication regimen. A: Hemoglobin A1C level is 7.9% - While this indicates poor diabetic control, it is not as urgent as addressing potential renal issues with metformin. B: Last eye exam was 18 months ago - While regular eye exams are important for diabetic patients, it is not as critical as addressing renal function. D: Patient has questions about the prescribed diet - While patient education is crucial, it is not as urgent as addressing potential renal complications. In summary, the priority is to address the decreased GFR to ensure the patient's safety and well-being.

Correct Answer: A

Rationale: The Social Security Act of 1935 impacted public health nursing by providing financial assistance to families with disabled children. This support helped improve access to healthcare services and resources for disabled children, leading to better health outcomes. The Act did not specifically address mentally disabled individuals, older adults, or opioid addicts in the same way as it did for disabled children. Therefore, choice A is correct as it directly aligns with the Act's provisions for supporting disabled children.

Correct Answer: B

Rationale: The correct answer is B: Confidentiality. The RN should consider confidentiality when replying to his friends about the senator's condition. By maintaining confidentiality, the RN upholds the trust and privacy of the senator's medical information. Sharing such information breaches the ethical duty to protect patient privacy. A: Fidelity pertains to being faithful and loyal to one's commitments, not directly related to this situation. C: Veracity refers to truthfulness and honesty, but in this case, maintaining confidentiality takes precedence over disclosing the truth to friends. D: Accountability involves taking responsibility for one's actions, which is not the primary ethical principle at play in this scenario.

Correct Answer: B

Rationale: The correct answer is B: Trial and error. This method involves attempting different solutions sequentially until the problem is solved. Decision making (A) refers to making choices based on available information. Experimentation (C) involves testing hypotheses through controlled trials. Analysis (D) is the process of examining data and information to understand a situation. In this scenario, the nurse manager is not systematically testing hypotheses (experimentation), analyzing data (analysis), or making informed decisions (decision making), but rather trying different solutions until finding the one that works, which aligns with the trial and error method.