The nurse admitted that she made a mistake in giving the medication and reported it to the physician. This is an example of?

Correct Answer: A

Rationale: Admitting a med error and reporting is accountability (A) taking responsibility, per ethics. Malpractice (B) and negligence (C) define the error, fidelity (D) promises. A reflects ownership, making it correct.

Correct Answer: A

Rationale: Temperature peaks late day (8 PM-midnight) e.g., circadian rise while lowest is early morning (not noon). Thyroxin raises temp, and elderly risk hypothermia (not hyperthermia) from poor regulation. Nurses monitor this e.g., fever trends per physiological norms.

Correct Answer: B

Rationale: General Adaptation Syndrome (GAS) has three stages (B) alarm, resistance, exhaustion, per Selye. Not one-time (A), involves hormones (C, e.g., cortisol), not all (D). B truly outlines GAS's phased response, making it correct.

Correct Answer: D

Rationale: Anne Boykin and Savina Schoenhofer's Grand Theory of Nursing as Caring, from the 1990s, posits all humans as caring, with nursing responding to this ‘moral imperative' e.g., aiding a stranger instinctively. Unlike Erickson's modeling, Peterson's humanism, or Benner's skill focus, it's a grand theory emphasizing universal caring, shaping ethical nursing practice and education.

Correct Answer: D

Rationale: Auscultation precedes percussion and palpation to avoid altering bowel sounds.

Correct Answer: C

Rationale: Gentamicin, an aminoglycoside, targets Gram-negative infections (e.g., E. coli), effective against their cell walls penicillin and cefazolin favor Gram-positive, erythromycin less so. Nurses anticipate this, monitoring for nephrotoxicity or ototoxicity, ensuring proper dosing for bacterial clearance in this client.

Correct Answer: D

Rationale: For a 2-month-old infant undergoing a pyloromyotomy to correct pyloric stenosis, pre-operative nursing actions focus on safety and preparation for anesthesia and surgery. Keeping the infant NPO (nothing by mouth) as ordered (D) is critical to prevent aspiration during anesthesia, a standard pre-operative protocol for all surgical patients, especially infants. Allowing breastfeeding 1 hour before surgery (A) contradicts NPO guidelines, risking complications like vomiting or aspiration, making it incorrect. Reviewing coagulation study results (B) is important, as infants with pyloric stenosis may have electrolyte imbalances affecting clotting, but it's not the most immediate action. Avoiding all pre-operative sedation (C) is impractical, as sedation may be needed based on medical orders, not universally avoided. Other options like beginning IV fluids (E) and placing an NG tube (F) are relevant but context-specific. Since the CSV requires one correct answer, D is chosen as the most universally applicable and critical action, ensuring the infant's safety by adhering to NPO status, a fundamental pre-operative standard.

Correct Answer: A

Rationale: A clutter-free environment with clear pathways prevents falls in mobility-impaired patients by removing obstacles, ensuring safe movement. Bed rails risk entrapment, sedatives increase fall likelihood, and unattended ambulation is unsafe. Nurses create this setting to support navigation, reducing injury risk, a foundational approach to safety in hospital care for vulnerable patients.

Correct Answer: B

Rationale: Cost sharing is patient and insurer split costs (B), per definition e.g., copays for Mr. Gary. Not free (A), not rule (C), not one-time (D) shared model. B best defines its structure, balancing payment, making it correct.