Question

A rural community health nurse is developing a plan to improve healthcare delivery for migrant farmworkers. To identify health services data for this minority group, the nurse should gather information from which of the following sources?

Answer 1

Correct Answers:

Agency for Healthcare Research and Quality

Rationale :

The AHRQ collects and analyzes data related to healthcare disparities and services for minority populations, including migrant farmworkers. This agency helps improve healthcare quality and accessibility by identifying barriers and promoting evidence-based solutions.

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Answer 2

Correct Answers:

Tension pneumothorax.

Rationale :

PEEP increases intrathoracic pressure, which can lead to alveolar overdistension and rupture, increasing the risk of tension pneumothorax.

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Answer 3

Correct Answers:

A client who has cellulitis and is receiving oral antibiotics every 8 hours.

Rationale :

Clients receiving oral antibiotics can be safely discharged with instructions to continue treatment at home. This decision prioritizes hospital space for clients requiring immediate and intensive care.

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Answer 4

Correct Answers:

Respiratory acidosis

Rationale :

A pH below 7.35 indicates acidosis, and an elevated PaCO2 (above 45 mm Hg) suggests a respiratory cause.HCO3 levels are normal, indicating that the kidneys have not yet compensated.

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Answer 5

Correct Answers:

A client who has cellulitis and is receiving oral antibiotics every 8 hr

Rationale :

Clients with cellulitis on oral antibiotics can safely continue treatment at home, as they are stable and do not require intensive monitoring. Discharging stable patients makes room for critically injured clients who need immediate, life-saving interventions.

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Answer 6

Correct Answers:

"I will be checking you once with your eyes open and once with them closed."

Rationale :

The Romberg test assesses balance and proprioception by comparing stability with and without visual input. A positive test (increased swaying or falling) suggests issues with proprioception or the vestibular system.

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Answer 7

Correct Answers:

Move the client to a room near the nurses' station

Rationale :

Placing the client near the nurses’ station ensures close monitoring for safety. This action helps prevent falls or injury from confusion and agitation.

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Answer 8

Correct Answers:

Proceed with provision of medical care

Rationale :

In an emergency, implied consent allows treatment if delaying could cause harm .Life-saving procedures should never be delayed due to lack of consent.

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Answer 9

Correct Answers:

Ask the partner to list specific concerns

Rationale :

Addressing concerns directly ensures the issue is clearly understood. Open communication helps resolve conflicts and improve patient care.

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Answer 10

Correct Answers:

Time the medication was given

Rationale :

The client’s record should include factual information about medication administration. Incident reports should never be documented in the medical record to avoid legal implications.

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QLexNursing

1 : A rural community health nurse is developing a plan to improve healthcare delivery for migrant farmworkers. To identify health services data for this minority group, the nurse should gather information from which of the following sources?

2 : A nurse is caring for a client who is receiving positive end-expiratory pressure (PEEP) via mechanical ventilation. The nurse should monitor the client for which of the following adverse effects of PEEP?

3 : A nurse must recommend clients for discharge in order to make room for several critically injured clients from a local disaster. Which of the following clients should the nurse recommend for discharge?

4 : A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm Hg, and HCO3 of 25 mEq/L. The nurse should identify that the client has which of the following acid-base imbalances?

5 : A nurse must recommend clients for discharge in order to make room for several critically injured clients from a local disaster. Which of the following clients should the nurse recommend for discharge?

6 : A nurse is providing information to a client immediately before his scheduled Romberg test.

Which of the following statements should the nurse make?

7 : During a change-of-shift report, a night shift nurse informs the day shift nurse that a newly admitted client was disoriented and combative during the night. Which of the following actions should the day shift nurse take?

8 : A nurse in an emergency department is caring for a client who is unconscious and requires emergency medical procedures. The nurse is unable to locate members of the client's family to obtain consent. Which of the following actions should the nurse take?

9 : A charge nurse is speaking with the partner of a client. The partner states that the client is not receiving adequate care. Which of the following actions should the charge nurse take first to resolve the situation?

10 : A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the client's medical record?

QLexNursing

1 : A rural community health nurse is developing a plan to improve healthcare delivery for migrant farmworkers. To identify health services data for this minority group, the nurse should gather information from which of the following sources?

2 : A nurse is caring for a client who is receiving positive end-expiratory pressure (PEEP) via mechanical ventilation. The nurse should monitor the client for which of the following adverse effects of PEEP?

3 : A nurse must recommend clients for discharge in order to make room for several critically injured clients from a local disaster. Which of the following clients should the nurse recommend for discharge?

4 : A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm Hg, and HCO3 of 25 mEq/L. The nurse should identify that the client has which of the following acid-base imbalances?

5 : A nurse must recommend clients for discharge in order to make room for several critically injured clients from a local disaster. Which of the following clients should the nurse recommend for discharge?

6 : A nurse is providing information to a client immediately before his scheduled Romberg test.Which of the following statements should the nurse make?

7 : During a change-of-shift report, a night shift nurse informs the day shift nurse that a newly admitted client was disoriented and combative during the night. Which of the following actions should the day shift nurse take?

8 : A nurse in an emergency department is caring for a client who is unconscious and requires emergency medical procedures. The nurse is unable to locate members of the client's family to obtain consent. Which of the following actions should the nurse take?

9 : A charge nurse is speaking with the partner of a client. The partner states that the client is not receiving adequate care. Which of the following actions should the charge nurse take first to resolve the situation?

10 : A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the client's medical record?

6 : A nurse is providing information to a client immediately before his scheduled Romberg test.

Which of the following statements should the nurse make?