A nurse cares for a patient who tests positive for alpha1-antitrypsin (AAT) deficiency. The patient asks, “What does this mean?” How would the nurse respond?

Correct Answer: C

Rationale: Step-by-step rationale for why Option C is correct: 1. Alpha1-antitrypsin deficiency predisposes individuals to develop chronic obstructive pulmonary disease (COPD). 2. Smoking exacerbates the risk of COPD in individuals with AAT deficiency. 3. By stating, "Your risk for COPD is higher, especially if you smoke," the nurse addresses the patient's concern and provides relevant information. 4. This response acknowledges the connection between AAT deficiency, COPD risk, and smoking, empowering the patient to make informed decisions about their health. Summary of why the other choices are incorrect: A. Incorrect. AAT deficiency does not directly impact the children's risk for COPD; it is the individual who has the deficiency who is at risk. B. Incorrect. While genetic counseling may be beneficial, it does not directly answer the patient's question about the implications of AAT deficiency. D. Incorrect. AAT deficiency can impact the individual's health, especially their

Correct Answer: B

Rationale: The correct answer is B: to provide care to patients capable of self-care at home. Ambulatory care facilities focus on providing medical services to patients who do not require overnight hospitalization and can manage their care at home. This includes services such as outpatient surgeries, diagnostic tests, treatments, and follow-up care. By choosing option B, it aligns with the primary goal of ambulatory care facilities, which is to offer convenient and cost-effective care to patients who can safely recover at home. Explanation of other choices: A: to save money by not paying hospital rates - Incorrect. While cost-effectiveness is a benefit of ambulatory care facilities, it is not the major goal. C: to perform major surgery in a community setting - Incorrect. Ambulatory care facilities typically focus on minor surgeries and procedures, not major surgeries. D: to perform tests prior to being admitted to the hospital - Incorrect. This goal is more related to pre-admission testing rather than the primary goal of ambulatory care

Correct Answer: C

Rationale: The nurse turning the patient every 2 hours is implementing the established plan of care. Implementation involves executing the planned interventions to promote patient outcomes. Turning the patient is a specific action based on the planned care to prevent pressure ulcers. Assessing (A) is the data collection phase, planning (B) involves setting goals and interventions, and evaluating (D) is the review of the effectiveness of the interventions. Therefore, the correct answer is C as it directly relates to carrying out the planned care.

Correct Answer: A

Rationale: The primary purpose of the patient record is communication. It serves as a tool for healthcare professionals to document and share vital information about a patient's health status, treatment plans, and progress. This facilitates effective communication among healthcare team members to ensure continuity of care. Advocacy, research, and education are important secondary purposes of patient records, but communication is fundamental for providing safe and quality healthcare.

Correct Answer: C

Rationale: The correct answer is C because referring to a community diabetic support group would facilitate coping with disability and death by providing emotional support, education, and resources for managing the condition. This activity addresses the psychological and social aspects of coping with a chronic illness like diabetes. A, conducting a blood pressure screening program, focuses on preventive health measures rather than coping with disability or death. B, teaching testicular self-examination, is relevant for early detection of testicular cancer but does not directly address coping with disability or death. D, administering intravenous fluids, is a clinical intervention that does not specifically target coping mechanisms related to disability or death.