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 Sign | 1300 | 1400 |
| Temperature | 37.2°C (98.9°F) | 37.2°C (98.9°F) |
| Heart Rate | 88/min | 86/min |
| Respiratory Rate | 18/min | 20/min |
| Blood Pressure | 120/78 mm Hg | 122/80 mm Hg |
| Oxygen Saturation | 94% on room air | 96% with supplemental oxygen |
Intake and Output
| Time | Oral Input | IV Input | Medication Input | Urine Output | Emesis Output |
| 1200 | 0 mL | 200 mL | 100 mL | ||
| 1300 | 20 mL | 150 mL | 100 mL | ||
| 1400 | 10 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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