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RN Nursing · Leadership and Management in Nursing · Practice question

A nurse is attending to a client who just came out of a routine surgical procedure. In relation to political trends affecting healthcare, analyze the statements below regarding their relevance to advancing nursing and healthcare policy.

Nurse's Notes

1300:

Client is alert but drowsy, respiratory effort slightly increased with mild wheezing upon auscultation.

1415:

Client's oxygen saturation dropped to 92% on room air; supplemental oxygen administered. Breathing improved but remains under observation.

Vital Signs

Vital Sign13001400
Temperature37.2°C (98.9°F)37.2°C (98.9°F)
Heart Rate88/min86/min
Respiratory Rate18/min20/min
Blood Pressure120/78 mm Hg122/80 mm Hg
Oxygen Saturation94% on room air96% with supplemental oxygen

Intake and Output

TimeOral InputIV InputMedication InputUrine OutputEmesis Output
12000 mL200 mL 100 mL 
130020 mL150 mL 100 mL 
140010 mL    

Answer & explanation

Correct:

This matrix question asks which statements are essential or non-essential to advancing nursing and healthcare policy in relation to political trends. Opposing evidence-based mandates for vaccination programs is non-essential — and in fact counterproductive — to advancing sound healthcare policy, since evidence-based practices underpin both public health outcomes and nursing advocacy. Advocating for increased funding to prevent healthcare worker shortages is essential because workforce adequacy is a cornerstone of healthcare system resilience and a legitimate focus for nursing policy leadership. Ignoring political engagement opportunities for disaster preparedness is non-essential; political engagement is integral to securing resources and authority for effective disaster response, so ignoring it represents a failure of policy stewardship. Promoting telehealth legislation to improve rural healthcare access is essential because telehealth expansion directly addresses geographic disparities in care access, and legislative advocacy is a recognized nursing role in health policy. The keyed answer assigns essential to rows two and four, and non-essential to rows one and three, which aligns with accepted principles of healthcare policy and nursing's advocacy role. This pattern is confirmed correct.

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