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An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon initial transition to the obstetrical floor?

A.

Competent

B.

Proficient

C.

Novice

D.

Advanced beginner

Answer and Explanation

The Correct Answer is C

A. Competent nurses have typically worked in a specific area for 2-3 years, developing an understanding of patient care specific to that field.  

 

B. Proficient nurses have advanced understanding and experience, allowing them to see care situations as whole parts rather than in separate steps.  

 

C. In a new specialty area, the nurse is considered a novice, as they lack experience and expertise in obstetrics despite previous nursing experience.

  

D. Advanced beginners have some experience but still need support; however, this would apply only if the nurse had some previous obstetric experience.


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View Related questions

Correct Answer is C

Explanation

A. While metabolic acidosis is a potential concern for some diabetic conditions, avoiding acidic foods is not a common dietary guideline for managing diabetes.

B. Including dairy can contribute to calcium intake but does not directly impact diabetes management.

C. Staying hydrated is essential for overall health and helps regulate blood sugar levels, making it an appropriate dietary recommendation for this patient.

D. Since the patient does not require insulin, strict carbohydrate reduction may not be necessary, making this option less relevant.

Correct Answer is B

Explanation

A. Increasing activity level may be unrealistic for a patient on strict bed rest due to a pelvic fracture.

B. Repositioning every 2 hours is a realistic and achievable goal for a patient on bed rest to prevent complications such as pressure ulcers and maintain circulation.

C. Using a walker for ambulation may not be feasible immediately after a pelvic fracture.

D. Transferring with a sliding board may not be safe or appropriate in the early stages post-injury, especially if bed rest is required.

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