Using SBAR, what information would you provide to the neurosurgeon when you call?
What will be an ideal response?
Following SBAR (Situation, Background, Assessment, Recommendation), you would first identify
yourself, then explain that K.B. is complaining of a headache. For background, state that K.B.
experienced a left subdural hematoma; then give current VS, urine output with specific gravity, and
details of his neurologic examination findings, including assessment items that are changing and the
time period of those changes. The assessment of the situation is that K.B. is experiencing diabetes
insipidus. You would recommend starting vasopressin (Pitressin) and increasing the IV fluid rate.
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Which is a true statement about heart disease in older adults?
a. Myocardial infarction has many of the same symptoms in older patients as in middle-aged persons. b. Both excessive urination at night and decreased urination can be signs of heart failure. c. Any exertion on the part of an older adult patient with heart disease can bring on another heart attack. d. A person with heart failure is likely to have trouble breathing, except when lying down.
The nurse confirms that the cost of caring for a relatively unimpaired older adult in a private home is approximately what fraction of the cost of placing the older adult in a long-term care facility?
a. b. 1/3 c. d. 2/3
What tool is used as a systematic, proactive method for evaluating a process to identify where and how care delivery might fail?
a. American Nurses Association (ANA) b. UAP c. Failure Mode and Effects Analysis (FMEA) d. Institute for Healthcare Improvement (IHI)
Which of the following measures should be the focus of the health care system in order to further reduce the rate of infant mortality?
1. Implementing programs to ensure women's early participation in ongoing prenatal care 2. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days 3. Expanding the number of neonatal intensive care units 4. Mandating that all pregnant women receive care from an obstetrician