The nurse develops a plan of care to prevent aspiration in a high risk patient which nursing action will be most effective

Correct Answer: B

Rationale: The correct answer is B: Place a patient with altered consciousness in a side-lying position. This is the most effective nursing action to prevent aspiration in a high-risk patient because it helps prevent the patient from aspirating any secretions or vomitus. Placing the patient in a side-lying position helps to maintain an open airway and allows for proper drainage of fluids from the mouth. Rationale: A: Turning and repositioning an immobile patient every 2 hours is important for preventing pressure ulcers, but it does not directly address the risk of aspiration. C: Inserting a nasogastric tube for feeding a patient with high-calorie needs is not a preventative measure for aspiration and may even increase the risk if not managed properly. D: Monitoring respiratory symptoms in an immunosuppressed patient is important for early detection of respiratory infections but does not directly prevent aspiration.

Correct Answer: C

Rationale: The correct answer is C because hospice nurses specifically provide care to dying persons and their loved ones. Hospice care focuses on providing comfort and support to individuals who are terminally ill and nearing the end of their life. Hospice nurses offer physical, emotional, and spiritual care to help manage symptoms and improve quality of life during this challenging time. Choices A, B, and D are incorrect because hospice care is not aimed at improving health, caring solely for children with chronic illnesses, or providing long-term care for older adults. These options do not align with the specialized support and services that hospice nurses offer to individuals at the end of life.

Correct Answer: D

Rationale: The correct answer is D because HIPAA mandates that patients be informed about how their health information will be used and disclosed. This includes informing patients about privacy practices, their rights regarding their health information, and how their information may be shared with other healthcare providers for treatment purposes. Choices A, B, and C are incorrect because HIPAA focuses on protecting the privacy and security of patients' health information, rather than specifying insurance requirements, care providers, or levels of care provided at a healthcare facility.

Correct Answer: C

Rationale: The correct answer is C: selecting alternatives to maintain status quo. This is a potential error in decision-making as it involves choosing options that keep things the same without considering if there are better alternatives. Nurses should prioritize patient well-being over maintaining the current state. A, placing emphasis on the last data received, can be a potential error if it leads to overlooking important earlier information. B, avoiding information contrary to one's opinion, is a bias that can hinder objective decision-making. D, being predisposed to multiple solutions, may not necessarily be an error as long as all solutions are thoroughly evaluated before making a decision.

Correct Answer: C

Rationale: The correct answer is C: patient's chief complaint. In the SOAP format, "S" stands for Subjective, which includes the patient's chief complaint. This is the reason for the patient seeking healthcare. A: patient complaints of pain is too specific and may not encompass the overall chief complaint. B: patient symptoms are part of the objective assessment. D: patient interventions fall under the "P" (Plan) section, not the subjective component.