What adjustment should you expect to be made for an 82-year-old patient who is newly prescribed chloral hydrate for insomnia?
a. Seizure precautions should be implemented.
b. The first dose should be given with a meal or a substantial snack.
c. The initial dose should be lower than that for a younger adult.
d. The patient should have continuous electrocardiography monitoring.
ANS: C
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The nurse is caring for a 34-year-old obstetric patient who has disseminated intravascular coagulation (DIC). The nurse is aware that DIC is
a. an acquired hemorrhagic syndrome of clotting cascade overstimulation and anticlotting processes. b. a hereditary coagulation disorder in which factor VIII is absent. c. a deficiency of the number of circulating platelets with thrombocytopenia present. d. a malignant disorder characterized by painless, progressive enlargement of lymphoid tissue.
The integration of qualitative and quantitative approaches in a single study constitutes a form of:
A) Hypothesis testing B) Theory generation C) Triangulation D) Methodologic research
What is one performance area where quality improvement (QI) is used to affect process and out-comes of health care?
a. Provision of appropriate and effective care b. Elimination of access barriers c. Reduction of unjustified geographic varia-tion in care d. Application of managed care to all citizens
Parents of a mentally ill teenager say, "We have never known anyone who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing." Select the nurse's most helpful intervention
a. Refer the parents to a support group. b. Build the parents' self-concept as coping parents. c. Teach the parents techniques of therapeutic communication. d. Facilitate achievement of normal developmental tasks of the family.