The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia) through a restricted access medication program. What is most important for the nurse to report immediately to the health care provider?

Correct Answer: D

Rationale: The correct answer is D: The patient has chest pressure when walking. This symptom could indicate cardiac issues, a known side effect of rosiglitazone. Reporting this immediately is crucial to prevent potential serious complications. A: The patient's blood pressure is 154/92. While high, it is not an immediate concern unless accompanied by other symptoms. B: The patient has a history of emphysema. Relevant but not urgent in this scenario. C: The patient's blood glucose is 86 mg/dL. Within the normal range and not a priority compared to chest pressure. In summary, choice D is correct as it addresses a potentially severe side effect of the medication that requires immediate attention. Choices A, B, and C are not as urgent or directly related to the medication's side effects.

Correct Answer: C

Rationale: The correct answer is C: To control the spread of infections within the healthcare setting. This is the primary goal of infection control practices as it aims to prevent the transmission of infections among patients, healthcare workers, and visitors. By implementing measures such as hand hygiene, proper use of personal protective equipment, and environmental cleaning, healthcare facilities can effectively minimize the risk of infections spreading. Explanation of why other choices are incorrect: A: To reduce the length of hospital stays - While infection control practices may contribute to shorter hospital stays indirectly by preventing additional complications from infections, this is not the primary goal. B: To ensure patient safety and prevent infections - While patient safety and infection prevention are important aspects of infection control, the primary goal is specifically focused on controlling the spread of infections within the healthcare setting. D: To comply with healthcare regulations - While compliance with regulations is essential for maintaining a safe healthcare environment, it is not the primary goal of infection control practices, which is centered on preventing the spread of infections.

Correct Answer: C

Rationale: The correct answer is C: Continuous reinforcement. Values are typically learned through consistent reinforcement of behavior that aligns with those values. This reinforcement can come from various sources such as parents, teachers, peers, and societal norms. Continuous reinforcement ensures that the values are internalized and become part of one's belief system. A: Reading books may expose individuals to different perspectives and values, but values are primarily learned through experiential and interpersonal interactions rather than just reading. B: Formal degrees may provide education and knowledge but do not guarantee the internalization of values. Values are often shaped through personal experiences and interactions rather than academic qualifications. D: Meeting diverse individuals can broaden one's perspective and expose them to different values, but values are not solely learned through interaction with others. Continuous reinforcement plays a more crucial role in internalizing values.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Giving the appraisal once per year ensures consistency and fairness in evaluating employee performance. 2. Regular appraisals help in tracking progress, identifying areas of improvement, and providing feedback. 3. Annual appraisals reduce the likelihood of biases affecting the evaluation process. 4. This approach allows for a structured review process and aligns with best practices in performance management. Summary: - Choice B is incorrect as having no appeal process can lead to unfairness and lack of transparency. - Choice C is incorrect as withholding information hinders employee development and communication. - Choice D is incorrect as employee input is essential for a comprehensive and balanced appraisal process.

Correct Answer: C

Rationale: The correct answer is C because evidence-based practice (EBP) involves integrating clinical expertise with the best available research evidence and considering patient preferences. This approach ensures that decisions are informed by both the clinician's experience and the most current and relevant research findings, leading to the most effective and individualized patient care. Choice A is incorrect as it solely relies on clinical expertise without considering research evidence. Choice B is incorrect as it suggests solely relying on research findings, neglecting the importance of clinical judgment. Choice D is incorrect as it focuses on following institutional guidelines rather than on the integration of clinical expertise and research evidence.

Correct Answer: A

Rationale: The correct answer is A. Carefully assessing and documenting client status is crucial to avoid charges of negligence and false imprisonment. By assessing and documenting client status, healthcare providers can ensure they are meeting the client's needs and providing appropriate care. This helps in demonstrating that the healthcare provider acted responsibly. Option B is incorrect because ensuring all patient information is logged out and the nurse has signed out of the computer before leaving the computer station relates more to patient privacy and data security, rather than avoiding charges of negligence and false imprisonment. Option C, keeping careful notes while providing care, is important for accurate documentation but does not directly address the risk of negligence or false imprisonment. Option D, discussing safety needs with clients, is important but does not specifically address the legal aspects of negligence and false imprisonment.

Correct Answer: A

Rationale: Rationale: The correct answer is A because the patient's blood glucose level has increased slightly, indicating the orange juice is working. Giving more orange juice is appropriate to continue raising the blood glucose level. Administering glucagon (B) is not necessary as the patient's glucose is improving. Eating peanut butter with crackers (C) may be too slow to raise the glucose level. Notifying the healthcare provider (D) is not needed at this point as the patient is responding to the initial intervention.

Correct Answer: D

Rationale: The correct answer is D: Track patients' vital signs. Advanced technology in health care, like integrated health records, allows nurses to efficiently monitor and analyze patients' vital signs in real-time. This helps them make informed decisions and provide timely interventions. Nurses still need to conduct thorough assessments (eliminating choice A), order medications (not solely technology-dependent like choice B), and take blood samples (a part of physical assessments, not solely technology-related like choice C). Tracking vital signs is crucial in patient care, as it provides continuous monitoring and early detection of any changes, allowing nurses to intervene promptly.

Correct Answer: C

Rationale: The correct answer is C because virtue ethics primarily focuses on developing moral character and virtues in individuals rather than following specific rules for behavior. This approach emphasizes the importance of cultivating virtuous traits such as honesty, courage, and kindness to guide ethical decision-making. By emphasizing moral character over rules, virtue ethics promotes the idea that individuals should strive to embody virtuous qualities to lead a good and ethical life. Choice A is incorrect because virtue ethics does not rely on rigid moral rules but rather on cultivating virtues. Choice B is incorrect because virtue ethics does not prioritize knowledge of consequences in decision-making. Choice D is incorrect because virtue ethics does not provide a formal set of rules for behavior, but rather emphasizes the development of virtuous character.