A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse’s best response?

Correct Answer: A

Rationale: The correct answer is A) Technology use has to be combined with nursing judgment. This response is the best choice because it emphasizes the crucial role of nursing judgment in patient care, even in an increasingly technologically advanced healthcare environment. Nursing is a profession that requires critical thinking, clinical reasoning, and decision-making skills, which cannot be replaced by technology alone. Option B) The focus of effective nursing care is technology, is incorrect because while technology plays a significant role in modern healthcare delivery, it is not the sole focus of nursing care. Nursing care encompasses a holistic approach that considers the physical, emotional, and psychological needs of the patient. Option C) If it’s so easy, why don’t you do it? is an unprofessional and confrontational response that does not promote a constructive dialogue or professional behavior among colleagues. Option D) That is true in the 20th century, is incorrect because nursing practice continues to evolve with advancements in technology, but the fundamental principles of nursing care remain centered around human connection, empathy, and critical thinking skills. In an educational context, this question highlights the importance of integrating technology into nursing practice while emphasizing the enduring value of nursing judgment and critical thinking skills. It underscores the need for nurses to adapt to technological advancements while maintaining a patient-centered focus in their care delivery.

Correct Answer: C

Rationale: The American Nurses Association developed the National Database of Nursing Quality Indicators (NDNQI) to measure and evaluate nursing-sensitive outcomes with the purpose of improving patient safety and quality care. Nursing quality indicators include the following: Hospital readmission rates, nursing hours per patient day, and patient falls/falls with injuries. While every major health care organization measures certain aspects of patient satisfaction, it is not a nursing quality indicator.

Correct Answer: D

Rationale: The correct answer is D) Antibiotics will be administered during labor to prevent vertical transmission of the bacteria. In pregnancy, Group B streptococcus (GBS) is a common bacterium that colonizes the genital tract. It can be passed from the mother to the baby during childbirth, leading to potentially serious complications such as sepsis or pneumonia in the newborn. The standard of care is to administer antibiotics during labor to reduce the risk of vertical transmission to the baby. Option A is incorrect because GBS is not solely transmitted through sexual encounters; it is a normal bacteria that can be present in the genital tract of women. Option B is incorrect as GBS can indeed harm newborns, not just cause a sore throat in the mother. Option C is incorrect as GBS is not typically associated with pelvic inflammatory disease. Educationally, it is crucial for nurses to educate pregnant women about GBS, its transmission, and the importance of receiving antibiotics during labor if they are GBS positive to protect the health of their newborn. This knowledge empowers mothers to make informed decisions about their care and the well-being of their baby.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Placement of a bag on a baby for urine collection, which is appropriate for the nurse to delegate to the certified nursing assistant (CNA). The rationale for choosing C is that the task involves a non-invasive procedure that does not require specialized knowledge or assessment skills beyond the scope of practice for a CNA. Collecting urine for analysis is a routine task that can be safely performed by a CNA under the supervision of an RN. Option A, admission assessment on a newly delivered baby, requires critical thinking skills and clinical judgment that are within the RN's scope of practice. Option B, patient teaching of a neonatal sponge bath, involves providing education and requires knowledge of proper techniques and considerations, making it more appropriate for an RN to handle. Option D, hourly neonatal blood glucose assessments, involves monitoring a critical parameter that requires interpretation and potential interventions, thus falling under the RN's responsibility. This question highlights the importance of understanding scope of practice and delegation in healthcare settings. It is crucial for healthcare professionals to work within their scope and delegate tasks appropriately to ensure safe and effective patient care.

Correct Answer: A

Rationale: In the context of pharmacology and pregnancy assessment, it is crucial to understand the signs and symptoms that may indicate a possible pregnancy. Amenorrhea, the absence of menstruation, is a classic early sign of pregnancy due to the hormonal changes that occur when conception takes place. A) Amenorrhea is the correct answer as it is a cardinal sign of pregnancy and should prompt the nurse to suggest a pregnancy test to rule out or confirm pregnancy. B) Fever is not typically associated with early pregnancy but may indicate an infection or other medical condition unrelated to pregnancy. C) Fatigue can be a common symptom in early pregnancy due to hormonal changes, but it is not specific enough to solely suggest the need for a pregnancy test. D) Nausea, commonly known as morning sickness, can be a sign of pregnancy, but it is not as definitive or early a sign as amenorrhea. Educationally, understanding these signs and symptoms is vital for healthcare providers to accurately assess and provide appropriate care for pregnant patients. Recognizing the significance of amenorrhea in this context helps healthcare professionals to make informed decisions regarding further testing and treatment options for pregnant individuals.