The nurse escalated Mr. Gary's issue to a supervisor. This is an example of?

Correct Answer: A

Rationale: Escalating to supervisor is chain of command (A) structured line, per definition. Reporting (B) events, literacy (C) understanding, advocacy (D) rights not hierarchy-specific. A fits the nurse's use for Mr. Gary's issue, making it correct.

Correct Answer: D

Rationale: Maslow's hierarchy ranks human needs in a pyramid. Physiological needs (air, water) form the base, followed by safety (security), belongingness (love), and esteem (respect). Self-actualization, the peak, involves achieving one's full potential creativity, purpose once lower needs are met. Nurses apply this to prioritize care, addressing survival needs before personal growth. Self-actualization's position reflects its rarity and dependence on foundational stability, shaping holistic care plans to support patients toward this ultimate goal.

Correct Answer: C

Rationale: Extracellular fluid excess (e.g., heart failure) increases blood volume, distending jugular veins as pressure rises in the venous system. Elevated hematocrit indicates dehydration, not excess. A rapid, thready pulse suggests hypovolemia, and increased sodium isn't typical unless concentrated. Nurses assess jugular distension to detect fluid overload, guiding diuretics or fluid restriction to prevent complications like pulmonary edema.

Correct Answer: C

Rationale: Nitrous oxide cylinders are coded French blue per international standards (e.g., BOC), ensuring safe identification in medical settings. Black is oxygen, black with white shoulders is air, and gray is carbon dioxide. Nurses verify colors, preventing gas mix-ups during anesthesia, critical for patient safety and procedural accuracy.

Correct Answer: D

Rationale: By providing medication teaching and confirming understanding through repetition, the nurse acts as an educator. This role involves imparting knowledge, ensuring comprehension, and empowering the patient to manage post-thyroidectomy care, like medication adherence, critical for recovery and preventing complications (e.g., hypothyroidism). Asking the patient to repeat instructions assesses learning, addressing gaps before discharge. As a manager, the nurse coordinates care, not directly teaches. The caregiver role focuses on physical assistance (e.g., wound care), not education. Patient advocacy ensures rights and preferences are upheld, but this scenario emphasizes teaching over advocacy. Education equips the patient for self-care, aligning with nursing's holistic approach, making educator the nurse's primary role here, enhancing health outcomes through informed participation.