An active 32-yr-old male who has type 1 diabetes is being seen in the endocrine clinic. Which finding indicates a need for the nurse to discuss a possible a change in therapy with the health care provider?

Correct Answer: C

Rationale: The correct answer is C: Blood pressure of 140/88 mmHg. This finding indicates a need for discussion with the healthcare provider because it suggests uncontrolled hypertension, which is a significant risk factor for cardiovascular disease in individuals with diabetes. High blood pressure can lead to complications such as heart disease, stroke, and kidney disease. A: Hemoglobin A1C level of 6.2% is within the target range for a person with diabetes, indicating good blood sugar control. B: A heart rate at rest of 58 beats/min is within the normal range for an active individual and is not a cause for concern. D: A high-density lipoprotein (HDL) level of 65 mg/dL is considered desirable and is a positive indicator for cardiovascular health.

Correct Answer: C

Rationale: Step-by-step rationale for why Option C is correct: 1. Alpha1-antitrypsin deficiency predisposes individuals to develop chronic obstructive pulmonary disease (COPD). 2. Smoking exacerbates the risk of COPD in individuals with AAT deficiency. 3. By stating, "Your risk for COPD is higher, especially if you smoke," the nurse addresses the patient's concern and provides relevant information. 4. This response acknowledges the connection between AAT deficiency, COPD risk, and smoking, empowering the patient to make informed decisions about their health. Summary of why the other choices are incorrect: A. Incorrect. AAT deficiency does not directly impact the children's risk for COPD; it is the individual who has the deficiency who is at risk. B. Incorrect. While genetic counseling may be beneficial, it does not directly answer the patient's question about the implications of AAT deficiency. D. Incorrect. AAT deficiency can impact the individual's health, especially their

Correct Answer: D

Rationale: The correct answer is D: collaborate with other care providers. In home care, nurses need to work together with other care providers like physicians, therapists, and social workers to ensure comprehensive care for patients. Collaboration promotes effective communication, coordination, and delivery of services. Providing all care and services (choice A) is not feasible for one nurse. Maintaining a clean home environment (choice B) is important but not a core responsibility of nurses. Advising patients on financial matters (choice C) is typically outside the scope of nursing practice.

Correct Answer: B

Rationale: The correct answer is B: to provide care to patients capable of self-care at home. Ambulatory care facilities focus on providing medical services to patients who do not require overnight hospitalization and can manage their care at home. This includes services such as outpatient surgeries, diagnostic tests, treatments, and follow-up care. By choosing option B, it aligns with the primary goal of ambulatory care facilities, which is to offer convenient and cost-effective care to patients who can safely recover at home. Explanation of other choices: A: to save money by not paying hospital rates - Incorrect. While cost-effectiveness is a benefit of ambulatory care facilities, it is not the major goal. C: to perform major surgery in a community setting - Incorrect. Ambulatory care facilities typically focus on minor surgeries and procedures, not major surgeries. D: to perform tests prior to being admitted to the hospital - Incorrect. This goal is more related to pre-admission testing rather than the primary goal of ambulatory care

Correct Answer: C

Rationale: The nurse turning the patient every 2 hours is implementing the established plan of care. Implementation involves executing the planned interventions to promote patient outcomes. Turning the patient is a specific action based on the planned care to prevent pressure ulcers. Assessing (A) is the data collection phase, planning (B) involves setting goals and interventions, and evaluating (D) is the review of the effectiveness of the interventions. Therefore, the correct answer is C as it directly relates to carrying out the planned care.