Which factor contributes most to the steady increase in health care spending in the United States?

Health care providers overcharging for health care services

Inflationary influences on the cost of health care

Rising number of elderly clients requiring complex medical and pharmacological care

Increasing numbers of indigent clients without health insurance

Answer and Explanation

The Correct Answer is C

A. While some providers may charge high fees, overcharging is not the primary factor contributing to the overall increase in health care spending.

B. Inflation does affect the cost of health care, but the primary driver is the aging population and the increased demand for services.

C. The aging population requires more complex and long-term care, including multiple medications, which significantly contributes to the rise in health care spending.

D. While the uninsured population is growing, the rise in health care spending is more closely tied to the increased needs of the elderly population.

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Correct Answer is B

Explanation

A. An abrasion is a superficial wound caused by scraping or rubbing and does not involve the full thickness of the skin.

B. A full-thickness wound with jagged edges and visible muscle tissue is a laceration. Lacerations are typically caused by trauma and result in irregular edges and deeper tissue damage.

C. A puncture wound is caused by a sharp object penetrating the skin, often with a small opening.

D. A contusion is a bruise caused by blunt force trauma that results in damage to underlying tissues but does not involve a break in the skin.

A. Contact B. Droplet C. Protective D. Airborne

Correct Answer is B

Explanation

A. Contact precautions are used for infections that are spread through direct contact with contaminated surfaces or items.

B. Droplet precautions are used for infections spread through respiratory droplets, such as influenza.

C. Protective isolation is used for clients with weakened immune systems, but TB requires airborne precautions, not protective isolation.

D. Tuberculosis (TB) is transmitted via airborne particles, so the nurse should initiate airborne precautions, including the use of an N95 respirator, negative pressure rooms, and other measures to prevent the spread of TB.

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Which factor contributes most to the steady increase in health care spending in the United States?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in an emergency room is assessing a client who has a leg wound. The nurse notes a full thickness wound with jagged edges and muscle tissue visible. The nurse should documents this as which of the following types of wounds?

Correct Answer is B

Explanation

A nurse is admitting a client who has tuberculosis and a productive cough. Which of the following types of isolation precautions should the nurse initiate for the client?

Correct Answer is B

Explanation

A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client?

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?

A nurse is preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following changes should the nurse plan to include?

A nurse is providing nail care for a client. Which of the following actions should the nurse take?

A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?

A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?

A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?

A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds?