What describes the expanded role of a nurse after specialized training and credentialing?

Correct Answer: C

Rationale: The correct answer is C, Clinical Nurse Specialist (CNS). A CNS has specialized training and credentialing, allowing them to provide expert clinical care, education, research, and leadership in a specific area of nursing practice. They have advanced knowledge and skills to improve patient outcomes and influence healthcare delivery. A: A Primary Care Nurse typically provides general healthcare services to a variety of patients. B: Private Duty Nurse provides one-on-one care to individual patients in their homes. D: A Visiting Nurse provides care to patients in their homes, but without the specialized training and credentialing of a CNS. In summary, the expanded role of a nurse with specialized training and credentialing is best represented by a Clinical Nurse Specialist due to their advanced clinical expertise and ability to impact healthcare on a broader scale.

Correct Answer: B

Rationale: The correct answer is B: Prevent abdominal distention. A Salem Sump tube is a type of nasogastric tube used for decompression and drainage of the stomach. It helps prevent abdominal distention by removing air and fluids from the stomach. This is important in preventing complications such as vomiting, aspiration, and bowel obstructions. Choice A is incorrect because the purpose of a Salem Sump tube is not to apply internal pressure to the abdomen to prevent bleeding. Choice C is incorrect because a Salem Sump tube is not used to instill feedings into the stomach but rather to remove contents from the stomach. Choice D is incorrect because a Salem Sump tube is not used to help in the elimination of urine; it is specifically designed for gastric decompression.

Correct Answer: D

Rationale: The correct answer is D: Notify physician. Delay transfusion. Rationale: 1. Fever (temperature of 38.2 C) indicates possible infection or reaction to transfusion. 2. In a post-surgical patient, fever could be a sign of sepsis or transfusion reaction. 3. Delaying transfusion allows for further assessment and investigation by the physician. 4. Proceeding with transfusion without addressing the fever could worsen the patient's condition. Summary: - Choice A is incorrect because fever post-surgery is not normal and requires further evaluation. - Choice B is incorrect as administering anti-histamine does not address the underlying issue of fever. - Choice C is incorrect as giving Acetaminophen without further evaluation of the cause of fever is not appropriate.

Correct Answer: A

Rationale: The correct answer is A: Temperature: 38.1 C. A fever is the most alarming finding as it indicates a potential systemic infection, especially in a client with a central line and redness at the insertion site. Fever can be a sign of sepsis which requires immediate intervention. Choice B: Expiration date is next month is not relevant to the current situation and does not indicate an immediate threat to the client's health. Choice C: Dressing change due today, while important for infection prevention, is not the most alarming finding in this scenario as it can be addressed promptly. Choice D: Tight tubing connections can lead to complications but are not as urgent or life-threatening as a fever in a client with a central line and redness at the site.

Correct Answer: C

Rationale: Rationale: 1. Bubbles in blood bag indicate possible contamination or improper handling. 2. Returning the bag to the blood bank ensures safety and quality control. 3. Adding saline or heparin can compromise the integrity of the blood product. 4. Double-checking by another nurse does not address the issue of bubbles. Summary: - Choice A: Does not address the potential issue with the blood bag. - Choice B: Adding saline can affect the blood product's composition. - Choice C: Correct - ensures proper handling and safety. - Choice D: Adding heparin can alter the blood product's function.