A male client who has severe burns is receiving H2 receptor antagonist therapy. The nurse In-charge knows the purpose of this therapy is to:

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Prevent stress ulcer. H2 receptor antagonist therapy works by decreasing stomach acid production, which helps in preventing stress ulcers in patients with severe burns. This is crucial because burn patients are at a higher risk of developing stress ulcers due to factors such as decreased mucosal blood flow and increased gastric acid secretion. Option A) Enhance gas exchange is incorrect because H2 receptor antagonists do not directly impact gas exchange in the lungs. This option is unrelated to the mechanism of action of these medications. Option C) Facilitate protein synthesis is incorrect as H2 receptor antagonists do not play a role in protein synthesis. These medications primarily target the stomach acid production and do not have a direct effect on protein synthesis. Option D) Block prostaglandin synthesis is incorrect because H2 receptor antagonists do not block prostaglandin synthesis. Prostaglandins are lipid compounds that play a role in inflammation and gastric mucosal protection, but they are not the target of H2 receptor antagonists. In an educational context, it is important for nursing students to understand the rationale behind using H2 receptor antagonists in burn patients to prevent stress ulcers. By grasping the pharmacological basis of this therapy, students can provide effective care and anticipate potential complications in burn patients receiving such treatment. This knowledge enhances their critical thinking skills and ability to make informed clinical decisions in similar patient care scenarios.

Correct Answer: A

Rationale: In the context of nursing, the correct answer to the question is A) Nursing care plans. Nursing care plans are essential documents that guide the provision of individualized care to patients. These plans are developed based on comprehensive nursing assessments, accurate diagnoses, specific goals, detailed care plans, interventions, and evaluation processes. A) Nursing care plans are the correct choice because they provide a systematic approach to delivering care that is evidence-based and tailored to meet the unique needs of each patient. These plans ensure continuity of care, promote effective communication among healthcare team members, and enhance patient outcomes by addressing specific health issues in a structured manner. B) Nursing notes are documentation entries that capture ongoing observations, assessments, and interventions performed by nurses. While important for tracking daily care activities, they do not encompass the comprehensive nature of a nursing care plan. C) Narrative planning typically involves a descriptive narrative of patient care without the structured format and specific elements found in a nursing care plan. It lacks the specificity and detail required for effective care management. D) Kardex is a concise summary of patient information, often used for quick reference, but it does not encompass the comprehensive scope of a nursing care plan, including detailed assessments, goals, and interventions. Educationally, understanding the significance of nursing care plans is crucial for nursing students as they learn to provide holistic, patient-centered care. Developing proficiency in creating and utilizing nursing care plans is essential for safe and effective nursing practice, promoting critical thinking, clinical reasoning, and evidence-based care delivery. Mastering this skill enhances a student's ability to prioritize care, individualize interventions, and collaborate effectively within the healthcare team.

Correct Answer: B

Rationale: The correct answer is B) Interpersonal. The nursing process involves a systematic method of delivering patient care that is centered around the individual's unique needs and goals. By demonstrating an interpersonal characteristic, the nurse is showing empathy, communication skills, and a holistic approach to patient care. This approach focuses on building relationships with patients, understanding their perspectives, and involving them in their care decisions. Option A) Systematic is not the best choice because while the nursing process is systematic, this question specifically highlights the importance of the nurse-patient relationship. Option C) Dynamic is not the best choice because although the nursing process is dynamic and adaptable, this question emphasizes the importance of the nurse's interpersonal skills in patient-centered care. Option D) Universally applicable in nursing situations is not the best choice because while the nursing process is a fundamental framework in nursing practice, this question highlights the humanistic aspect of nursing care that goes beyond a one-size-fits-all approach. Educationally, understanding the interpersonal nature of the nursing process is crucial for nursing students to develop empathy, communication skills, and a patient-centered approach to care. It emphasizes the importance of building therapeutic relationships with patients to provide holistic and individualized care.

Correct Answer: B

Rationale: The correct answer is B) Orem's model. Orem's Self-Care Deficit Theory emphasizes a total person approach to nursing care, focusing on self-care as a foundational concept. Nursing interventions in Orem's model are aimed at assisting individuals in meeting their self-care needs at three preventive levels: primary, secondary, and tertiary. This model empowers individuals to participate in their own care and promotes independence. A) Newman's model focuses on health as expanding consciousness and the interconnectedness of body, mind, and spirit. It does not specifically address preventive levels of nursing interventions like Orem's model. C) Levine's model, the Conservation Model, emphasizes the conservation of energy and the adaptation of individuals to stressors. While it considers the holistic nature of individuals, it does not align as closely with the three preventive levels concept. D) King's model, the Theory of Goal Attainment, centers around the nurse and patient interacting to achieve mutually set goals. While it involves a dynamic nurse-patient relationship, it does not explicitly address preventive levels of nursing interventions. Educationally, understanding different nursing models is crucial for students to develop a comprehensive view of nursing theory and practice. Knowing the principles behind each model helps nurses tailor their care to meet the specific needs of their patients effectively. By grasping the concepts of various nursing models, students can enhance their critical thinking skills and clinical decision-making abilities in providing patient-centered care.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Administering medication to a patient with a PEG tube that should be delegated to the licensed practical nurse (LPN). LPNs are trained and competent in medication administration, including specialized routes like PEG tube administration. Option A, admission assessment of a new client, requires a registered nurse (RN) due to its complexity and need for critical thinking skills. Option C, teaching a client insulin injection technique, involves patient education and should be performed by an RN who can assess the client's understanding and provide comprehensive teaching. Option D, evaluating changes to a client's pressure ulcer, also requires RN-level assessment skills to determine appropriate interventions. From an educational perspective, understanding delegation is crucial in nursing practice to ensure safe and effective patient care. By knowing the scope of practice for different nursing roles, nurses can optimize teamwork and provide quality care. Delegating tasks appropriately not only utilizes each team member's skills efficiently but also promotes collaboration and enhances patient outcomes.