A patient is placed on volume-cycled ventilation. The nurse plans care for this client based on which characteristic of this method of ventilation?

Correct Answer: A

Rationale: The correct answer is A because volume-cycled ventilation delivers a set volume with each breath, ensuring a consistent tidal volume. This characteristic is beneficial in overcoming airway resistance changes, as the set volume helps maintain adequate ventilation despite changes in lung compliance or airway resistance. Option B refers to trigger mechanism, not characteristic of volume-cycled ventilation. Option C is a true statement, but it does not fully capture the reason why volume-cycled ventilation is chosen. Option D is incorrect as it inaccurately describes pressure-controlled ventilation.

Correct Answer: C

Rationale: The correct answer is C: 'Speaking to me like that makes me uncomfortable.' This response sets a clear boundary, communicates discomfort with the inappropriate behavior, and asserts the nurse's right to be treated with respect. It addresses the behavior directly and sends a message that such comments are not acceptable. Choices A and B do not directly address the inappropriate behavior, potentially allowing it to continue. Choice D focuses on volume rather than the inappropriate content of the comment, not effectively addressing the situation.

Correct Answer: B

Rationale: The correct answer is B: The AP has the knowledge and skill to perform the task. This is important because delegation should only be done to individuals who are competent and capable of carrying out the assigned tasks safely and effectively. The nurse must assess the AP's knowledge and skills to ensure they are qualified for the task. A: The AP's ability to prioritize is not directly related to their competence in performing the task at hand. C: The AP's rapport with clients is important for communication and teamwork but does not determine their ability to perform a specific task. D: The AP's ability to complete the task without assistance is important, but it does not guarantee that they have the required knowledge and skill to perform the task correctly.

Correct Answer: A

Rationale: The correct answer is A: Perform blood glucose monitoring before breakfast. This task should be done first as it is time-sensitive for the client's medication and meal planning. Monitoring blood glucose levels in the morning helps determine the appropriate insulin dosage or other medications needed for the day. Applying a condom catheter (B) can wait until after the blood glucose monitoring. Feeding a client with upper arm fractures (C) is important but not as time-sensitive as blood glucose monitoring. Delivering a urine specimen to the lab (D) is also important but can be done after the blood glucose monitoring. Prioritizing tasks based on client needs and urgency is crucial in providing safe and effective care.

Correct Answer: A

Rationale: The correct answer is A: Quietly tell the APs that this is not appropriate. The priority action is to address the situation immediately to prevent further breach of confidentiality. By speaking to the APs directly, the nurse can educate them on the importance of patient confidentiality and address the issue at its source. This approach promotes immediate corrective action and helps prevent future incidents. Summary: - Choice B: Asking the nurse manager for an inservice program may be helpful in the long run, but it does not address the immediate breach of confidentiality. - Choice C: Completing an incident report is important, but it should not be the initial action in this scenario. - Choice D: Documenting the occurrence in a personal log does not address the issue directly and may not prevent future breaches of confidentiality.