A nurse is caring for a client who has an indwelling urinary catheter. Which of the following findings indicates that the catheter requires irrigation?

Correct Answer: A

Rationale: The correct answer is A because the presence of ketones in the urine may indicate dehydration or infection, which can lead to catheter obstruction. Irrigation may be needed to clear the catheter and prevent further complications. Choices B, C, and D are incorrect because an unusual odor, high specific gravity, and a significant amount of urine in the bladder do not necessarily indicate the need for catheter irrigation.

Correct Answer: C

Rationale: The correct answer is C: Planning. In the ethical decision-making process, after identifying the decision makers involved, the next step is to plan the course of action to address the dilemma. This involves considering various options, weighing the pros and cons, and formulating a strategy to resolve the ethical issue. The other choices are incorrect because: A: Assessment - This step involves gathering information and data to fully understand the ethical issue at hand. B: Diagnosis - This step involves analyzing the information collected during the assessment phase to identify the root cause of the ethical dilemma. D: Implementation - This step comes after planning and involves putting the chosen course of action into practice.

Correct Answer: A

Rationale: The correct answer is A: Desire to leave. Voluntary turnover occurs when an employee chooses to leave the organization. This choice could be due to personal reasons, career advancement, or dissatisfaction with the current job. Termination (B) is involuntary, forced resignation (C) is also not voluntary as it involves external pressure, and floating (D) is not a recognized term in the context of turnover. Therefore, A is the correct choice for voluntary turnover.

Correct Answer: B

Rationale: HIPAA mandates protecting client health information, restricting disclosure to those not directly providing care unless authorized. Responding I am sorry, but you'll need to ask your father for that information' upholds confidentiality, redirecting the son to the client the information's owner respecting autonomy and privacy without hostility. Giving the medication name breaches confidentiality, offering specifics only the client can share. A blunt I can't tell you' lacks tact, potentially straining relations, while deferring to the provider shifts responsibility unnecessarily. The chosen response balances legal duty with professionalism, reinforcing the client's control over their data, a cornerstone of trust in nurse-client interactions.

Correct Answer: A

Rationale: The correct answer is A: Certification to contract. Certification to contract refers to having the legal capacity and authority to enter into a contract with an employer. This means the individual meets the necessary requirements and is legally allowed to engage in contractual agreements. Rationale: 1. Certification implies that the individual has met specific qualifications or criteria, ensuring they have the necessary skills and knowledge to engage in contract negotiations. 2. To contract indicates the ability to enter into a legally binding agreement, which is essential when establishing an employer-employee relationship. 3. The term "certification to contract" specifically addresses the ability to form contracts, distinguishing it from the other choices which do not directly relate to contractual agreements. Summary of Incorrect Choices: B: Certification to represent - While representation may be involved in contract negotiations, this choice does not directly address the ability to enter into a contract with an employer. C: Bargaining agreement - This refers to an agreement between labor and management, not the individual's ability to enter into

Correct Answer: A

Rationale: Commitment emotional drive and passion for a goal captures the dedication needed for team success, like the staff's potential shift under mediation. It's about zeal without needing control, distinct from mere cooperation (a willingness, not a fervor) or communication (a tool, not the state). In this context, fostering commitment aligns with team building, as it fuels collective effort and accountability, driving the group toward a shared purpose beyond individual tasks or compliance.

Correct Answer: B

Rationale: Leanne's role in operationalizing the group's plan engaging businesses with pre-set needs and participation methods demonstrates followership. She actively supports and executes the collective agenda, not setting it (leadership), but advancing it with loyalty and skill. This aligns with effective followership, where individuals contribute to shared goals without directing them. Professionalism reflects standards, not her specific action, and knowledge of context aids but isn't her primary trait here. Her effectiveness lies in faithfully driving the group's vision forward, a hallmark of strong followership.

Correct Answer: C

Rationale: For phenytoin, saying they can stop once seizures stop needs teaching, not gum care, alcohol, or rash. Phenytoin's lifelong often stopping risks rebound seizures. Gums bleed from overgrowth, alcohol interacts, rashes signal Stevens-Johnson. Leadership corrects this imagine a fit; it ensures adherence, aligning with epilepsy care effectively.

Correct Answer: C

Rationale: The primary focus of transitional care is to facilitate smooth transitions between care settings. This involves ensuring continuity of care, coordination between healthcare providers, and patient education during transitions. This helps prevent medical errors, improve patient safety, and reduce hospital readmissions. Managing chronic diseases (B) and improving clinical outcomes (A) are important aspects but not the primary focus. While supporting family caregivers (D) is crucial, it is not the main goal of transitional care.