The nurse is assigned to the Risk Management Team. Which events would be addressed by this team? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. A client's hand is injured during an arterial blood gas draw.
2. A client's family is dissatisfied with the breakfast just served.
3. A client leaves the hospital against medical advice (AMA).
4. A client claims he is not ready to be discharged.
5. The family does not want a client to be transferred from the intensive care unit (ICU).
1,3
Rationale 1: Any reaction or injury associated with a diagnostic test must be reported as an incident.
Rationale 2: The nurse manager can address the client's expectations related to meals. If no satisfaction can be obtained and the family continues to complain about meals, an incident report would be filed.
Rationale 3: The physician and health care team are responsible for deciding if the client is ready to be discharged, based on the client's medical condition.
Rationale 4: The physician and health care team are responsible for deciding if the client is ready to be discharged, based on the client's medical condition.
Rationale 5: The physician and health care team are responsible for deciding if the client should be transferred from the ICU, based on the client's medical condition.
Global Rationale:
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A home health nurse is reviewing the medications that an older client is currently taking. Which of the following questions need to be included in the review? Select all that apply
A) Ask the client to assemble all medications, including prescribed, OTC, herbal, and vitamins. B) Ask the client how he is storing the medication. C) Ask the client how he is paying for his medications. D) Ask the client what side effects he would need to report to his physician. E) Determine if the client has any cultural or ethnic beliefs that would impact compliance with the medication regime.
A client had an episode of acute renal failure after heart surgery but seems to have recovered now. What is an important health promotion strategy the nurse could teach the client? The nurse should teach the client to
a. avoid aminoglycosides and IVP dye in the future. b. drink lots of fluids on an ongoing basis. c. have a BUN and creatinine drawn every 6 months. d. monitor his/her temperature daily.
Which client requires immediate intervention by the labor and delivery nurse?
1. Client at 8 cm, systolic blood pressure has increased 35 mm Hg 2. Client who delivered 1 hour ago with WBC of 50,000 3. Client at 5 cm with a respiratory rate of 22 between contractions 4. Client in active labor with polyuria
Beliefs and practices vary greatly from culture to culture, as well as between and within subcultures. Most cultures and subcultures share some of the following generalities
The growth of global migration of populations results in continual interrelationships and mingling of races, subcultures, and cultures with others. What health belief most likely occurs for the Asian American subculture? A) Illness and misfortune occur as punishment from God, referred to as castigo de Dios, or by an imbalance of "hot" or "cold" forces within the body. B) Illness is caused by infectious microorganisms, organ degeneration, and unhealthy lifestyles. C) Health is the result of a balance between yin and yang energy; illness results when equilibrium is disturbed. D) Supernatural forces can cause disease and influence recovery.