A nurse is moving to another state and will be working at an acute care facility. Prior to beginning practice, what actions should the nurse take to be compliant with state guidelines for nursing practice?

Correct Answer: A

Rationale: Relocating to practice nursing in a new state requires diligence to ensure compliance with local regulations, as each state's nurse practice act varies, even within compact states. Researching the laws and regulations governing nursing practice in the new state is a critical first step, providing insight into licensure requirements, scope of practice, and any unique provisions. Locating the state nursing practice act, often available online, offers the primary source of these rules, allowing the nurse to study and reference them regularly for updates. Accessing educational resources, like those from the National Council of State Boards of Nursing (NCSBN), further clarifies expectations. Visiting the state board isn't necessary unless required for licensure, and notifying the current state isn't typically mandatory unless exiting a compact agreement. These actions ensure the nurse practices legally and safely, adapting to the new state's standards while protecting their professional integrity and patient safety.

Correct Answer: D

Rationale: For a client with severe hypoxemia, a non-rebreather mask (D) is the most appropriate delivery method because it delivers the highest oxygen concentration up to 95% via a reservoir bag and one-way valves that prevent rebreathing exhaled air, ensuring maximal oxygen intake. Nasal cannula (A) provides low flow (24-44% oxygen) and suits mild hypoxemia, not severe cases. Simple face mask (B) offers moderate oxygen (40-60%) for stable needs, inadequate for severe hypoxemia. Venturi mask (C) delivers precise oxygen (24-50%) for conditions like COPD but not the high levels needed here. The non-rebreather's design addresses acute oxygen deficits effectively, critical in emergencies like severe hypoxemia, aligning with respiratory care standards to prevent tissue hypoxia and organ damage, per AACN guidelines.

Correct Answer: C

Rationale: Albuminuria (protein loss in urine) reduces plasma albumin, lowering colloid oncotic pressure, which normally keeps fluid in vessels. This imbalance lets fluid leak into tissues, causing edema. Hydrostatic pressures and tissue osmotic pressure play lesser roles. Nurses manage this with albumin infusions, addressing the root cause to reduce swelling and support circulation.

Correct Answer: D

Rationale: Florence Nightingale was born May 12, 1820, in Florence, Italy, to British parents hence her name. She studied in Germany and worked in Britain, not France. Her Italian birth ties to her environmental theory's origins, influencing nursing's global history and her Crimean War legacy.

Correct Answer: B

Rationale: In labor, cervical changes signal progression. Lochia (choice A) is postpartum uterine discharge, lasting weeks. Show (choice B) is the bloody mucus plug expelled as the cervix dilates, an early labor sign. Hemorrhage (choice C) implies severe bleeding, not normal mucus. Discharge (choice D) is vague, lacking specificity. B is correct, per obstetric terminology. Nurses assess show to time labor, differentiate it from PPH, and prepare for delivery, ensuring maternal readiness.

Correct Answer: B

Rationale: The adreno-cortical response, triggered by stress (NPO for a test), releases cortisol and aldosterone. Decreased urine output (B) occurs as aldosterone retains sodium and water, raising blood volume to counter stress. Low BP (A) contradicts this; pressure rises. Warm, flushed, dry skin (C) aligns with sympathetic, not adreno-cortical effects. Low sodium (D) opposes aldosterone's action. Reduced urine output reflects the body's fluid conservation under stress, matching adreno-cortical physiology and making B correct.

Correct Answer: C

Rationale: Dengue's biphasic fever spike (days 1-3), drop, then rash-phase rise e.g., 39°C, normal, 38°C sets it apart. Tricyclic, bicyclic (undefined), and triphasic (three peaks) don't fit. Nurses monitor this e.g., day 4 drop for critical phase care, per disease profiles.

Correct Answer: B

Rationale: Standard precautions are routine safety measures (B), per CDC e.g., gloves always. Not infection-only (A), are nursing (C), not all (D) universal. B truly defines precautions' role, protecting Mr. Gary, making it correct.

Correct Answer: D

Rationale: A slight elevation post-NPO likely reflects dehydration, not infection or anxiety.