An 80-year-old client tells the nurse that he has been dizzy since starting to take an herbal remedy for arthritis in addition to prescribed medications. Which of the following effects is this client experiencing?

Correct Answer: A

Rationale: The correct answer is A: Polypharmacy. Polypharmacy refers to the use of multiple medications concurrently, which can lead to drug-drug interactions causing adverse effects like dizziness. In this case, the client's dizziness is likely due to the combination of the herbal remedy for arthritis with prescribed medications. B: Sleep disorder is incorrect because dizziness is not typically associated with sleep disorders. C: Cascade iatrogenesis is incorrect as it refers to a sequence of adverse events resulting from medical treatment, not specifically related to dizziness. D: Fluid volume overload is incorrect as it is characterized by symptoms like edema and shortness of breath, not dizziness.

Correct Answer: C

Rationale: The correct answer is C: Check pulse with a doppler. This is the most appropriate action as using a doppler can help detect the pulse accurately when palpation is difficult. Rechecking in 1 hour (B) is not necessary as immediate action is required. Recording the finding (A) without further assessment may lead to missed critical information. Notifying the healthcare provider (D) at this stage is premature as further assessment is needed before involving the provider.

Correct Answer: A

Rationale: Correct Answer: A (0.5 tablets) Rationale: 1. The ordered dose is 12.5 mg. 2. The available tablets are 25 mg. 3. Divide the ordered dose by the tablet strength: 12.5 mg / 25 mg = 0.5 tablets. 4. The nurse administers 0.5 tablets to achieve the prescribed dose accurately. Summary: - Option B (1 tablet) is incorrect as it would give double the prescribed dose. - Option C (1.5 tablets) is incorrect as it would exceed the prescribed dose. - Option D (2 tablets) is incorrect as it would give four times the prescribed dose.

Correct Answer: C

Rationale: The correct answer is C) emphasis on advanced clinical practice, leadership, and evidence-based decision-making. The Doctor of Nursing Practice (DNP) program is designed to prepare advanced practice nurses to excel in roles that require a high level of clinical expertise, leadership skills, and the ability to make evidence-based decisions. This option reflects the primary goal of the DNP program, which is to produce advanced practice nurses who can lead in clinical practice settings and healthcare organizations, utilizing the latest evidence to guide their practice. Option A) preparation for leadership roles in academia is incorrect because while some DNP graduates may pursue academic roles, the primary focus of the DNP program is on preparing advanced practice nurses for leadership in clinical settings. Option B) research-focused doctoral education is incorrect because while research is an important component of the DNP program, the primary emphasis is on translating research into practice rather than conducting research as the primary goal. Option D) integration of theory, research, and public health in nursing practice is incorrect because while these elements are important in the DNP program, they are not the primary goal. The primary focus is on advanced clinical practice, leadership, and evidence-based decision-making. Educationally, understanding the primary goal of the DNP program is crucial for nursing students aspiring to pursue this advanced degree. It helps students grasp the core objectives of the program and how it aligns with their career goals in advanced nursing practice. Understanding this distinction also aids students in making informed decisions about their educational and career pathways within the nursing profession.

Correct Answer: D

Rationale: The correct answer is D) prescriptive theory. In the context of nursing, a prescriptive theory is designed to provide specific recommendations, interventions, or strategies to help nurses achieve particular nursing goals. These theories offer guidance on how to address health issues, implement interventions, and achieve desired outcomes within the nursing practice. They serve as practical frameworks for nurses to follow in their decision-making and patient care processes. Option A) adaptation theory focuses on how individuals adapt to changes in their environment and is not specifically geared towards providing recommendations for achieving nursing goals. Option B) descriptive theory aims to describe phenomena, relationships, and events without necessarily providing recommendations or interventions for achieving specific nursing goals. Option C) developmental theories focus on human growth and development over time and do not offer specific strategies for achieving nursing goals. Understanding the distinctions between different types of nursing theories is crucial for nursing students as it helps them apply the appropriate theoretical frameworks in their practice, guiding their decision-making processes and improving the quality of care they provide to patients.