The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals?

Correct Answer: C

Rationale: Nursing practice is guided by four broad goals that shape interventions based on client needs. In this scenario, the nurse's coordination with a physical therapist to address the client's weakened right side post-stroke aligns with the goal of restoring health. This involves efforts to regain lost function, improve strength, and enhance the client's physical capacity following an illness or injury. Promoting health focuses on maintaining wellness before illness occurs, such as through lifestyle education, while preventing illness aims to stop disease onset, like via vaccinations. Facilitating coping with death or disability pertains to supporting clients and families through terminal conditions or permanent impairments, not necessarily recovery. Here, the emphasis is on rehabilitation and recovery, targeting the restoration of the client's pre-stroke abilities as much as possible. This collaborative approach underscores nursing's role in helping clients reclaim their health after a significant medical event, aligning with the restorative aim.

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.

Correct Answer: A

Rationale: Post-tracheostomy, the obturator (A) is essential at the bedside to reinsert the tube if dislodged, ensuring airway patency. An oral airway (B) is irrelevant for tracheostomy patients. Epinephrine (C) treats allergic reactions, not routine needs. A larger tracheostomy tube (D) isn't standard emergency equipment. A is correct. Rationale: The obturator facilitates immediate tube replacement, critical in the first 72 hours before a tract forms, preventing airway loss, a priority per surgical nursing standards over other less relevant items.