A nurse is planning research-based care for a client who has cystic fibrosis. Which of the following resources should the nurse use?
National Patient Safety Goals
Clinical practice guidelines
Professional standards review
Acuity index
The Correct Answer is B
Rationale:
A. National Patient Safety Goals: These goals provide broad recommendations to improve overall patient safety, such as preventing falls or reducing hospital-acquired infections. They do not offer disease-specific care protocols tailored for clients with cystic fibrosis.
B. Clinical practice guidelines: These are evidence-based recommendations developed by experts that provide specific instructions for managing particular health conditions. For cystic fibrosis, they guide interventions like airway clearance, nutrition, and medication, ensuring care aligns with current research.
C. Professional standards review: These focus on evaluating the quality and performance of nursing care but are not specific to the management of diseases. They help in assessing compliance with professional norms rather than directing evidence-based treatment.
D. Acuity index: The acuity index measures the severity of a client's condition to help with staffing and resource allocation. It does not offer clinical guidance or evidence-based recommendations for disease management like cystic fibrosis.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Pays full costs for any health care service: Medicare does not cover 100% of all healthcare services. Beneficiaries are usually responsible for deductibles, copayments, and coinsurance. Some services may not be covered at all unless supplemental insurance or Medicare Advantage plans are used.
B. Receives funding through private insurance: Medicare is a federally funded health insurance program, not financed through private insurance. While some beneficiaries may choose Medicare Advantage through private insurers, traditional Medicare is publicly funded.
C. Covers nurse practitioner services: Medicare Part B covers services provided by nurse practitioners, including evaluation, diagnosis, and management of health conditions. These services are reimbursed similarly to those provided by physicians, as long as they meet established billing criteria.
D. Legally requires enrollment in supplemental insurance plan: Enrollment in a supplemental insurance plan, such as Medigap, is optional and not legally required. These plans can help cover out-of-pocket expenses, but beneficiaries are not mandated to purchase them.
Correct Answer is D
Explanation
Rationale:
A. "Ensure that she adheres to a low-protein diet." A high-protein meal may interfere with the absorption of levodopa, but a complete low-protein diet is not recommended. The timing of protein intake should be considered rather than restricting it entirely.
B. "Have her complete as many activities as possible by herself." While promoting independence is important, clients with Parkinson’s disease may require assistance, especially during "off" periods. Overemphasis on independence can increase the risk of injury and frustration.
C. "Give her the prescribed medications after meals." Levodopa should usually be taken on an empty stomach or away from high-protein meals to enhance absorption. Taking it after meals can reduce effectiveness unless GI upset occurs.
D. "Schedule physical therapy sessions for her early in the morning." Parkinson’s symptoms often worsen as the day progresses. Morning sessions, when medication is most effective, can optimize motor performance and reduce fatigue during therapy.
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