A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should include

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Question 1 of 5

A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should include

Correct Answer: C

Rationale: Aging population and chronic illness prevalence drive reform due to increased demand and costs.

Question 2 of 5

A 70 year-old post-operative client has elevated serum BUN, HCT, Cl, and Na+. Creatinine and K+ are within normal limits. The nurse should perform additional assessments to confirm that an actual problem is:

Correct Answer: D

Rationale: Elevated BUN, HCT, Cl, and Na+ with normal creatinine suggest dehydration, not renal failure.

Question 3 of 5

An infant has just returned from surgery for placement of a gastrostomy tube as an initial treatment for tracheoesophageal fistula. The mother asks: 'When can the tube can be used for feeding?' The nurse's best response would be which of these comments?

Correct Answer: C

Rationale: Initial drainage ensures patency and prevents aspiration before feeding begins.

Question 4 of 5

The nurse is caring for a client on mechanical ventilation. When performing endotracheal suctioning, the nurse will avoid hypoxia by

Correct Answer: C

Rationale: Hyperoxygenation prevents hypoxia during suctioning by pre-oxygenating the lungs.

Question 5 of 5

A 67 year-old client is admitted with substernal chest pain with that radiates to the jaw. The admitting diagnosis is acute myocardial infarction (MI). The priority nursing diagnosis for this client during the first 24 hours is

Correct Answer: C

Rationale: Impaired gas exchange due to reduced cardiac output is the primary concern post-MI.

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