A long-term care facility is seeking an advanced practice nurse to educate the staff about palliative care for the residents. The facility would benefit most by hiring which advanced practice nurse?

Correct Answer: A

Rationale: In a long-term care setting needing staff education on palliative care, a clinical nurse specialist (CNS) is the ideal hire due to their advanced expertise in a specialized area like gerontology or end-of-life care. A CNS focuses on improving care delivery through staff training, consultation, and system-level enhancements, making them well-suited to teach complex topics like pain management and emotional support in palliative care. Nurse practitioners primarily provide direct patient care, such as diagnosing and prescribing, which doesn't align with the educational focus here. Nurse researchers advance knowledge through studies, not staff training, while nurse administrators manage operations, not clinical education. The CNS's role bridges practice and education, ensuring staff gain the skills and confidence to support residents effectively, enhancing care quality in a setting where chronic conditions and end-of-life needs are prevalent.

Correct Answer: A

Rationale: Immunizing children against measles is primary prevention, stopping disease before it occurs by boosting immunity here, via vaccines that prevent measles' highly contagious spread. This proactive step, common in clinics or schools, promotes health and averts outbreaks, aligning with nursing's focus on keeping populations well. Secondary prevention screens for early detection, like testing for measles exposure, while tertiary prevention rehabilitates after illness, such as managing measles complications. 'Chronic' isn't a prevention level. Measles shots exemplify primary care's impact decades of vaccination have slashed cases showing nursing's role in preempting illness, protecting kids before exposure, and building community health resilience through simple, effective interventions.

Correct Answer: A

Rationale: For a heart failure client doubting diet's role, the nurse promotes health by explaining its benefits watching food intake, like limiting sodium, reduces fluid buildup, easing heart strain and cutting hospital trips. This tertiary prevention approach manages the condition, improving quality of life despite damage, aligning with nursing's focus on empowerment through education. Agreeing diet doesn't matter dismisses evidence low-sodium diets improve outcomes. Suggesting food freedom with meds ignores synergy between diet and drugs. Blaming past diet shames without motivating. The positive response ties behavior to tangible gains less dyspnea, more energy encouraging adherence. Studies show dietary control slashes readmissions, making this nursing reply a practical, hopeful nudge toward self-care, vital for chronic illness management.

Correct Answer: D

Rationale: Standard precautions apply to all patients, but additional precautions (e.g., contact, droplet) depend on infection risk. Among the findings pain 9/10, watery diarrhea, jaundice, and WBC 1,000 μL (immunosuppression) WBC count of 1,000 μL (D) requires only standard precautions unless an active infection is confirmed. Pain (A) and jaundice (C) are symptoms, not contagious risks. Diarrhea (B) suggests possible infection (e.g., C. difficile), warranting contact precautions. The client's HIV status heightens infection susceptibility, but low WBC alone doesn't dictate beyond standard precautions. D is correct. Rationale: Standard precautions (hand hygiene, gloves) suffice for immunosuppression without transmissible disease; diarrhea triggers extra measures due to potential pathogen spread, per CDC guidelines, making D the least likely to escalate precautions in isolation.

Correct Answer: B

Rationale: A low-pressure alarm suggests a leak or disconnection; manual ventilation with a resuscitation bag (B) ensures immediate oxygenation while troubleshooting continues. Calling teams (A, C, D) delays airway support. B is correct. Rationale: Manual bagging maintains ventilation, a life-saving priority per ACLS and ventilator protocols, addressing potential hypoxia swiftly.