a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days which of the following findings shoul

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1. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect?

A. Blood pressure 144/82 mm Hg
B. Urine specific gravity 1.03
C. Neck vein distention
D. Urine specific gravity 1.01

Correct answer: A

Rationale: In a client experiencing vomiting and diarrhea, the nurse should expect findings such as dehydration, which can lead to hypovolemia and subsequent increased heart rate and decreased blood pressure. A blood pressure of 144/82 mm Hg is indicative of possible dehydration in this client. Urine specific gravity is typically increased in dehydrated individuals, so choices B and D are incorrect. Neck vein distention is not a typical finding associated with vomiting and diarrhea; therefore, choice C is also incorrect.

2. Which of the following best describes the concept of value-based healthcare?

A. Focusing on the volume of services provided
B. Maximizing hospital revenue
C. Improving clinical outcomes while controlling costs
D. Emphasizing patient satisfaction

Correct answer: C

Rationale: The correct answer is C. Value-based healthcare focuses on improving clinical outcomes while controlling costs. It emphasizes quality over quantity, aiming to provide efficient and effective care that enhances patient health outcomes while managing expenses. Choices A and B are incorrect because value-based healthcare is not about focusing on the volume of services provided or maximizing hospital revenue. Choice D, emphasizing patient satisfaction, is also not the primary focus of value-based healthcare, which prioritizes clinical outcomes and cost control.

3. Strategies to advance your career and opportunities available in your first job can coexist. Identify factors that will help you prioritize these opportunities to fulfill your goals. (Select all that apply.)

A. Self-actualization and assessing your values and your lifestyle.
B. Determine where you can grow and develop professionally.
C. Your ability to work as a team member.
D. Reflect on your long-term career aspirations.

Correct answer: A

Rationale: The correct answer is A. Self-actualization involves assessing your values and lifestyle, which is crucial for prioritizing opportunities that align with your goals. This process helps you understand yourself better and make informed decisions to advance your career. Choice B is incorrect because focusing solely on salary may not necessarily lead to career growth and fulfillment. Choice C is about teamwork skills, which are important but not directly related to prioritizing career opportunities. Choice D is about seeking opinions from others, which may not always align with your personal goals and aspirations.

4. Why is increasing the use of advanced practice nurses encouraged?

A. A 2010 Institute of Medicine report recommended nurses practice to the full extent of their education.
B. Advanced practice nurses act as an extension of physicians.
C. The National League for Nursing advocates for the master of science in nursing (MSN) as the terminal degree for nurse practitioners.
D. Advanced practice nurses lack the skills to diagnose.

Correct answer: A

Rationale: The correct answer is A because the 2010 Institute of Medicine report recommended that nurses practice to the full extent of their education, which includes utilizing advanced practice nurses. This supports the efficient delivery of healthcare services by leveraging the expertise and skills of advanced practice nurses. Choice B is incorrect as it describes the role of advanced practice nurses rather than providing a reason for increasing their use. Choice C is unrelated to the encouragement of increasing the use of advanced practice nurses as it focuses on the terminal degree for nurse practitioners. Choice D is incorrect as advanced practice nurses do possess the skills necessary to diagnose and provide advanced care, so the statement that they lack diagnostic skills is inaccurate.

5. How can a staff nurse recognize they are experiencing burnout? (EXCEPT)

A. They are spending more time talking to staff on other units.
B. Staff is questioning their clinical judgment.
C. They sleep longer hours, sometimes coming in late to work.
D. They are drinking alcohol more frequently to relax.

Correct answer: A

Rationale: Recognizing burnout is essential to maintaining quality patient care. Spending more time talking to staff on other units is a common practice and does not necessarily indicate burnout. On the other hand, staff questioning their clinical judgment, sleeping longer hours or coming in late to work, and resorting to alcohol to relax are signs of burnout. These behaviors can impact patient care and indicate the professional is struggling to cope with stressors.