A nurse is caring for a client who is postoperative. When the nurse prepares to change the client's dressing, they say, 'Every time you change my bandage, it hurts so much.' Which of the following interventions is the nurse's priority action?

Correct Answer: C

Rationale: The correct answer is C: Administer pain medication 45 minutes before changing the client's dressing. This is the priority action because it directly addresses the client's pain during the dressing change, ensuring their comfort and adherence to the procedure. Administering pain medication in advance allows time for it to take effect, minimizing the discomfort experienced by the client. Encouraging relaxation techniques (A) and educating about the importance of dressing change (B) are important but secondary to addressing the immediate pain issue. Assisting the client to a comfortable position (D) is helpful but does not directly alleviate the pain like pain medication does.

Correct Answer: A

Rationale: The Social Security Act of 1935 impacted public health nursing by providing financial assistance to families with disabled children. This support helped improve access to healthcare services and resources for disabled children, leading to better health outcomes. The Act did not specifically address mentally disabled individuals, older adults, or opioid addicts in the same way as it did for disabled children. Therefore, choice A is correct as it directly aligns with the Act's provisions for supporting disabled children.

Correct Answer: B

Rationale: The correct answer is B: Confidentiality. The RN should consider confidentiality when replying to his friends about the senator's condition. By maintaining confidentiality, the RN upholds the trust and privacy of the senator's medical information. Sharing such information breaches the ethical duty to protect patient privacy. A: Fidelity pertains to being faithful and loyal to one's commitments, not directly related to this situation. C: Veracity refers to truthfulness and honesty, but in this case, maintaining confidentiality takes precedence over disclosing the truth to friends. D: Accountability involves taking responsibility for one's actions, which is not the primary ethical principle at play in this scenario.

Correct Answer: B

Rationale: Correct Answer: B - Intrinsic values are basic needs for sustaining life. Rationale: 1. Intrinsic values refer to inherent qualities that are fundamental and essential. 2. Basic needs for sustaining life, such as food, water, shelter, and safety, are considered intrinsic values. 3. These needs are universal and essential for human survival. 4. Choices A, C, and D describe different aspects of values but do not capture the core concept of intrinsic values as essential for survival.

Correct Answer: A

Rationale: The correct answer is A: Assist patients to achieve a peaceful death. This is a primary goal of nursing as it involves providing comfort, dignity, and support to patients at the end of life. Nurses play a crucial role in ensuring that patients' physical, emotional, and spiritual needs are met during this challenging time. Incorrect choices: B: Improving personal knowledge and skills is important for nurses but not the primary goal of nursing. C: Advocating for quality of life is essential, but the primary goal is to assist patients in achieving a peaceful death. D: Controlling costs is important, but it is not the primary goal of nursing, which is to provide holistic care and support to patients.