The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the development of venous disease?

Correct Answer: B

Rationale: The correct answer is B because prolonged bed rest can lead to decreased muscle contraction in the legs, slowing blood flow and increasing the risk of venous stasis and clot formation. This increases the risk of developing venous disease. A: Pregnancy increases pressure on veins but typically resolves postpartum. C: Smoking is a risk factor for arterial disease, not venous disease. D: Anticoagulants are used to prevent clot formation, reducing the risk of venous disease. In summary, choice B is correct because prolonged bed rest directly contributes to venous stasis and clot formation, making it the highest risk factor among the options provided.

Correct Answer: B

Rationale: Step 1: Calculate BMI: BMI = weight (kg) / height (m)^2 BMI = 19.5 kg / (1.65 m)^2 BMI = 19.5 kg / 2.72 m^2 BMI = 7.17 Step 2: Interpretation of BMI: BMI of 19.5 falls within the normal range (18.5-24.9) for a 15-year-old. Step 3: Rationale for Correct Answer (B): The correct answer is to reassure the mother that her daughter's BMI of 19.5 is normal for her age. There are no indicators of anorexia or obesity based on the BMI calculation. Step 4: Summary of Incorrect Choices: A: Referring to a nutritionist and psychologist for anorexia is incorrect as the BMI is within the normal range. C: Providing exercise information for obesity is incorrect as the BMI does not indicate obesity. D:

Correct Answer: B

Rationale: The correct answer is B: Focused or problem-centered database. When dealing with an ambulatory, apparently well individual presenting with a rash at an outpatient clinic, a focused or problem-centered database is appropriate. This type of data collection focuses on the specific health issue or problem at hand, which in this case is the rash. It involves gathering information related to the current concern without the need for a comprehensive assessment of all body systems like in a complete database. Follow-up database is not applicable as this is the initial visit. Emergency database is not suitable as the individual is ambulatory and not in a critical condition needing immediate attention.

Correct Answer: B

Rationale: The correct answer is B: Leverage technology to ensure communication. Your hospital recently invested in video interpreter services. Rationale: 1. Utilizing technology like video interpreter services ensures accurate and real-time communication, overcoming language barriers effectively. 2. Video interpreter services provide professional interpreters who are trained in medical terminology, ensuring accurate transmission of information. 3. It maintains patient confidentiality and adheres to HIPAA regulations by using secure communication platforms. 4. It promotes cultural competency and patient-centered care by facilitating understanding and building trust with the patient. Summary of other choices: A: Identifying a friend or family member can compromise patient confidentiality and accuracy of interpretation. C: Using gestures and simple words may lead to miscommunication, misunderstanding, and potential medical errors. D: Delaying care by calling another floor for a Spanish speaker can jeopardize timely treatment for the patient's chest pain.

Correct Answer: C

Rationale: Step-by-step rationale: 1. Froment's sign is a test for ulnar nerve dysfunction. 2. Positive Froment's sign occurs when a person uses their thumb to hold onto an object due to weakened adductor pollicis (innervated by ulnar nerve). 3. Therefore, a positive Froment's sign hints at ulnar nerve injury. Summary: A: Incorrect - Median nerve does not relate to Froment's sign. B: Incorrect - Radial nerve does not relate to Froment's sign. C: Correct - Ulnar nerve is associated with a positive Froment's sign. D: Incorrect - Musculocutaneous nerve does not relate to Froment's sign.