The client underwent a colon surgery yesterday, and just started ice chips today, Which of the following is an expected assessment finding?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: C

Rationale: Nursing research aims to enhance the profession's impact on patient care through targeted purposes. Providing a basis for best practice guidelines is central, as research synthesizes evidence like clinical reviews into actionable standards, ensuring care is effective and current. Developing new ways to improve assessment and diagnostic skills sharpens nurses' ability to identify and address client needs, driving innovative tools or techniques. It also supports evaluating care, offering resources to measure intervention success, and informs planning by setting evidence-based goals. Decreasing illnesses aligns more with medical research, while improving NCLEX pass rates pertains to education, not research's core. These purposes collectively advance nursing knowledge, refine practice, and elevate client outcomes, grounding the profession in science rather than tradition or assumption.

Correct Answer: B

Rationale: Tertiary prevention occurs post-diagnosis, aiming to reduce disability and optimize function, as with this heart failure client. Teaching about a low-sodium diet helps manage symptoms reducing fluid retention, easing heart strain preventing readmissions by enhancing self-care after treatment. Screening or early detection aligns with secondary prevention, identifying issues before symptoms escalate. Promoting health pre-diagnosis is primary prevention, averting illness onset. Here, the nurse targets rehabilitation, addressing an established condition to minimize complications like edema, common in heart failure's chronic cycle. This education empowers the client, aligning with tertiary care's focus on restoring maximal health, critical in nursing to break readmission patterns and support long-term stability.

Correct Answer: A

Rationale: A parish nurse in a faith-based setting tailors care to the congregation's needs, weaving health into spiritual life. Including health promotion teaching nutrition or stress relief empowers members to thrive, aligning with nursing's wellness focus and faith's holistic ethos. Illness prevention, like flu shot drives, protects the group, vital in close-knit settings. Referrals to smoking cessation tap community resources, supporting behavior change, while screenings for chronic issues like hypertension catch problems early, common in adult parishioners. All fit, but health promotion anchors the plan, fostering proactive habits like exercise groups post-service that resonate with spiritual vitality. This approach leverages trust in faith settings, enhancing nursing's impact by blending physical and spiritual care, ensuring activities uplift health while honoring the community's beliefs and collective strength.

Correct Answer: C

Rationale: When donning personal protective equipment (PPE) for a patient with Varicella, which requires airborne precautions, the correct sequence ensures maximal protection and compliance with infection control standards. The proper order is: (1) Perform hand hygiene (C), (2) Don gown (B), (3) Don N95 mask (D), and (4) Don gloves (A). Hand hygiene comes first to remove contaminants from the hands, reducing the risk of transferring pathogens during PPE application. The gown is donned next to cover the body, followed by the N95 mask to protect against airborne particles, ensuring a tight seal. Gloves are applied last, extending over the gown cuffs to prevent exposure. Varicella, being highly contagious via airborne droplets, necessitates this meticulous sequence to safeguard the nurse. Incorrect ordering, like donning gloves before the gown, could leave gaps in protection or contaminate the gloves. The CSV format requires one correct answer, so C (perform hand hygiene) is selected as the critical first step, foundational to the entire process, aligning with CDC and WHO PPE protocols.