It is important to teach a patient who is receiving immunosuppressive therapy for a bone marrow transplant to

Correct Answer: D

Rationale: In the context of a patient receiving immunosuppressive therapy for a bone marrow transplant, it is crucial to educate them comprehensively on self-care measures to prevent infections. Option D, "All of the above," is the correct choice in this scenario. Teaching the patient to avoid contact with individuals showing signs of infection (Option A) is vital as their weakened immune system makes them more susceptible to contracting illnesses. Prompt reporting of any signs of infection, like a sore throat or fever (Option B), enables early intervention, which is crucial in preventing serious complications. Additionally, adherence to medication instructions (Option C) is essential to ensure the effectiveness of the immunosuppressive therapy and maintain the body's ability to fight off infections. By selecting all options, the patient receives a comprehensive understanding of the necessary precautions and actions to take while undergoing immunosuppressive therapy. This approach empowers the patient to actively participate in their care, promoting better outcomes and reducing the risk of infections post bone marrow transplant. Education plays a pivotal role in empowering patients to make informed decisions about their health, especially in situations where their immune system is compromised.

Correct Answer: C

Rationale: The correct answer is C: Chronic bronchitis lasts for 3 consecutive months in 2 consecutive years, leading to irreversible blockage of the airways. It is characterized by a persistent cough with sputum production. Acute bronchitis, on the other hand, typically lasts for about 10 days and is reversible. It is usually caused by a viral or bacterial infection. Option A is incorrect because acute bronchitis does not last for 3 consecutive months; it usually resolves within a couple of weeks. Option B is also incorrect as acute bronchitis typically lasts longer than 7 to 10 days. Option D is not the best choice because as a healthcare provider, you should be able to educate your patient on basic differences between acute and chronic conditions to empower them to manage their health effectively. In an educational context, understanding the differences between acute and chronic conditions is crucial for healthcare professionals to provide accurate information to patients. By explaining these distinctions to patients like John, healthcare providers can help them understand their condition better, adhere to treatment plans, and make informed decisions about their health. This knowledge empowers patients to actively participate in their care and promotes better health outcomes.

Correct Answer: D

Rationale: The best approach to discharge planning in this scenario is to choose option D, which is to discuss community resources with the spouse and offer to make referrals. This option is correct because it focuses on providing support and resources to the spouse who will be caring for the patient at home. By discussing community resources, the healthcare team can ensure that the spouse receives the necessary assistance and information to effectively care for the patient. Option A, arranging nursing home placement for the couple, is not the best approach because it may not be necessary or desired by the couple. It is important to explore less restrictive options first before considering placement in a nursing home. Option B, consulting the spouse's healthcare provider about their ability to care for the patient, is important but does not address the broader support system needed for successful home care. Option C, contacting the children to ascertain their commitment to help, is valuable but may not address all the needs and resources required for the couple's care at home. In an educational context, this question highlights the importance of comprehensive discharge planning and the need to consider the resources and support available to patients and their caregivers. By understanding the unique needs of each individual and their support system, healthcare providers can ensure a smoother transition to home care and improve patient outcomes.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) paternalism. Paternalism refers to the practice of making decisions for others based on the belief that one knows what is best for them, without considering their input or autonomy. In the context of healthcare, paternalism can lead to ethical dilemmas, especially when patients' autonomy and preferences are not respected. Option A) justice does not apply in this scenario as it pertains to fairness and equality in healthcare access and distribution, which is not the focus of the situation described. Option C) pragmatism is not the most suitable choice as it refers to approaching situations in a practical, realistic manner, which is not the primary issue in this case. Option D) veracity is also not the correct answer as it relates to truthfulness and honesty, which is not directly related to the situation described. Educationally, it is crucial for healthcare providers and families to recognize and respect patients' autonomy and right to make decisions about their own care, including end-of-life preferences. Emphasizing patient-centered care and shared decision-making can help avoid paternalistic attitudes and ensure that patients' wishes are honored. It is essential for healthcare professionals to engage in open communication with patients and their families to understand and respect their values and choices.

Correct Answer: B

Rationale: In the context of a patient with a myocardial infarction diagnosed with activity intolerance, the correct outcome criterion is option B) ambulating 50 feet without experiencing dyspnea. This option is the most appropriate because it directly addresses the nursing diagnosis of activity intolerance by setting a measurable goal related to the patient's ability to engage in physical activity without experiencing shortness of breath. Option A) agreeing to discontinue smoking is important for overall cardiovascular health but does not directly address the patient's current activity intolerance. Option C) experiencing no dyspnea on exertion is a desirable outcome but may be too ambitious initially for a patient with activity intolerance. Option D) tolerating activity well is vague and not as specific or measurable as option B. In an educational context, understanding the rationale behind setting specific outcome criteria is crucial for effective nursing care planning. By setting measurable goals related to the patient's specific nursing diagnosis, nurses can track progress, evaluate effectiveness of interventions, and ensure patient-centered care. It is important for nurses to be able to critically think through different options to select the most appropriate and effective outcome criteria for each patient's unique situation.