The nurse is filling out an incident report after an older adult client fell while attempting to transfer this person from bed to a commode. Which health problem should the nurse consider when client falls occur?

Correct Answer: D

Rationale: The correct answer is D: Orthostatic hypotension. When an older adult falls during a transfer, orthostatic hypotension is a likely health problem to consider. Orthostatic hypotension is a sudden drop in blood pressure when standing up, leading to dizziness or fainting. This condition can increase the risk of falls, especially during position changes like transferring from bed to a commode. Bradypnea (A) refers to abnormally slow breathing rate, not directly related to falls. Palpitations (B) are rapid or irregular heartbeats, not typically associated with falls. Primary hypertension (C) is high blood pressure without a known cause, which is not directly linked to falls during transfers.

Correct Answer: A

Rationale: Correct Answer: A (0.5 tablets) Rationale: 1. The ordered dose is 12.5 mg. 2. The available tablets are 25 mg. 3. Divide the ordered dose by the tablet strength: 12.5 mg / 25 mg = 0.5 tablets. 4. The nurse administers 0.5 tablets to achieve the prescribed dose accurately. Summary: - Option B (1 tablet) is incorrect as it would give double the prescribed dose. - Option C (1.5 tablets) is incorrect as it would exceed the prescribed dose. - Option D (2 tablets) is incorrect as it would give four times the prescribed dose.

Correct Answer: C

Rationale: The correct answer is C) emphasis on advanced clinical practice, leadership, and evidence-based decision-making. The Doctor of Nursing Practice (DNP) program is designed to prepare advanced practice nurses to excel in roles that require a high level of clinical expertise, leadership skills, and the ability to make evidence-based decisions. This option reflects the primary goal of the DNP program, which is to produce advanced practice nurses who can lead in clinical practice settings and healthcare organizations, utilizing the latest evidence to guide their practice. Option A) preparation for leadership roles in academia is incorrect because while some DNP graduates may pursue academic roles, the primary focus of the DNP program is on preparing advanced practice nurses for leadership in clinical settings. Option B) research-focused doctoral education is incorrect because while research is an important component of the DNP program, the primary emphasis is on translating research into practice rather than conducting research as the primary goal. Option D) integration of theory, research, and public health in nursing practice is incorrect because while these elements are important in the DNP program, they are not the primary goal. The primary focus is on advanced clinical practice, leadership, and evidence-based decision-making. Educationally, understanding the primary goal of the DNP program is crucial for nursing students aspiring to pursue this advanced degree. It helps students grasp the core objectives of the program and how it aligns with their career goals in advanced nursing practice. Understanding this distinction also aids students in making informed decisions about their educational and career pathways within the nursing profession.

Correct Answer: D

Rationale: The correct answer is D) prescriptive theory. In the context of nursing, a prescriptive theory is designed to provide specific recommendations, interventions, or strategies to help nurses achieve particular nursing goals. These theories offer guidance on how to address health issues, implement interventions, and achieve desired outcomes within the nursing practice. They serve as practical frameworks for nurses to follow in their decision-making and patient care processes. Option A) adaptation theory focuses on how individuals adapt to changes in their environment and is not specifically geared towards providing recommendations for achieving nursing goals. Option B) descriptive theory aims to describe phenomena, relationships, and events without necessarily providing recommendations or interventions for achieving specific nursing goals. Option C) developmental theories focus on human growth and development over time and do not offer specific strategies for achieving nursing goals. Understanding the distinctions between different types of nursing theories is crucial for nursing students as it helps them apply the appropriate theoretical frameworks in their practice, guiding their decision-making processes and improving the quality of care they provide to patients.

Correct Answer: A

Rationale: The correct answer is option A) A 44-year-old myocardial infarction (MI) client who is complaining of nausea. In this scenario, the nurse should prioritize this client first after endorsement because nausea in a cardiac patient can be a sign of impending complications like arrhythmias or heart failure, which require immediate attention to prevent further deterioration. Option B) A 34-year-old postoperative appendectomy client of five hours who is complaining of pain is not the priority as pain is expected post-surgery and can be managed effectively with appropriate interventions. Option C) A 26-year-old client admitted for dehydration whose intravenous (IV) has infiltrated should be addressed promptly, but it does not pose an immediate threat to the client's life compared to a cardiac complication. Option D) A 63-year-old postoperative abdominal hysterectomy client of three days whose incisional dressing is saturated with serosanguinous fluid may indicate a potential issue, but it is not as urgent as addressing a cardiac symptom like nausea in an MI client. In an educational context, this question assesses the nurse's ability to prioritize and triage clients based on their presenting symptoms and conditions. Understanding the urgency of certain signs and symptoms is crucial in providing safe and effective nursing care. Prioritizing care helps in identifying and addressing critical needs promptly, ensuring positive patient outcomes.