A medical-surgical nurse is concerned about the incidence of complications related to IV therapy, including bloodstream infection. Which intervention should the nurse suggest to the management team to make the biggest impact on decreasing complications?

Correct Answer: A

Rationale: Correct Answer: A - Initiate a dedicated team to insert access devices. Rationale: 1. Specialized team: Dedicated team ensures consistent, skilled insertion, reducing risk of complications. 2. Expertise: Specialized team likely has advanced training and experience, leading to better outcomes. 3. Standardization: Consistent approach reduces variability and error in device insertion process. 4. Monitoring: Dedicated team allows for ongoing monitoring and improvement of insertion practices. Summary of Incorrect Choices: B: Requiring additional education for all nurses may improve knowledge but doesn't address consistency in practice. C: Limiting use of devices may not be practical and could limit patient access to necessary therapy. D: Quality control testing on skin preparation products is important but doesn't directly address insertion technique or consistency.

Correct Answer: C

Rationale: Rationale: Choice C is correct because not taking the medication as prescribed can lead to a return of symptoms. Missing doses or not taking it at the right time can result in a decrease in the drug's effectiveness. This can cause a relapse of symptoms like paranoid delusions and hallucinations. Incorrect Choices: A: Tolerance to the medication is unlikely after only 2 years of use. B: Taking the medication without food may affect absorption but is less likely to directly cause a return of symptoms. D: Combining alcohol with the medication can have adverse effects, but it is not the most likely reason for the return of symptoms in this case.

Correct Answer: B

Rationale: The correct answer is B: cortisol. Cortisol is known as the stress hormone because it is released in response to stress. It helps regulate various bodily functions during stressful situations. ADH (A) is antidiuretic hormone, involved in water balance. Estrogen (C) is a female sex hormone. Aldactone (D) is a medication used to treat high blood pressure and fluid retention, not a stress marker. Cortisol is the most appropriate choice as it directly correlates with stress response.

Correct Answer: B

Rationale: The correct answer is B: Advanced care directive. This document allows individuals to outline their healthcare preferences in the event they are unable to communicate. It provides clear instructions on the type of care they wish to receive or refuse. Verbal consent (A) is temporary and may not accurately reflect long-term preferences. Durable power of attorney (C) designates a person to make healthcare decisions, but may not include specific preferences. Comfort measures only (CMO) order (D) is a medical directive for end-of-life care, not a comprehensive document like an advanced care directive.

Correct Answer: B

Rationale: The correct answer is B, the staff RN with 3 years of experience who enjoys orienting new employees. This choice is the best because of the staff RN's combination of experience and willingness to mentor. The 3 years of experience indicate a good foundation of knowledge and skills, making them a suitable preceptor for the new graduate. Additionally, their enjoyment of orienting new employees suggests they have a positive attitude towards teaching and mentoring, which is crucial for a successful preceptor-preceptee relationship. A: The charge RN may be a natural leader and know policies, but that doesn't necessarily translate to being the best preceptor for a new graduate who needs guidance and support in clinical practice. C: The LPN may have extensive experience and knowledge of doctor's preferences, but the scope of practice and educational background differ from that of an RN, making them less suitable for preceptorship. D: The staff RN with 10 years of experience refusing to work with students is not an ideal