Which nursing research cost-effectiveness study would be of most interest to industrial leaders?
1. A study on follow-up care of very low-birth-weight infants
2. A study on using a nurse-practitioner-managed clinic as the primary provider of health services
3. A study on nurse case management of patients experiencing syncope
4. A study on the development of an admission nurse role
2
Rationale 1: This would likely not be of interest to an industrial leader.
Rationale 2: This study would be interesting to an industrial leader who was considering employee health resources. The impact of this use would include quality concerns, worker satisfaction concerns, and cost effectiveness.
Rationale 3: This would likely not be of interest to an industrial leader.
Rationale 4: This would likely not be of interest to an industrial leader.
Global Rationale:
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An older client diagnosed with dementia resides with his daughter. When the homecare nurse visits, the daughter tearfully tells the nurse that her father scratched her hand and cursed at her when she was attempting to feed him
She states, "I don't know why he hates me and wants to hurt me. I try so hard to take good care of him. I love him." How will the nurse respond to the client's daughter? a. "Let's think about what you may have done to anger your father?" b. "Let's try to figure out what your father was trying to say with his behavior." c. "Scratching is usually a sign of untreated pain. Do you think your father is in pain?" d. "Maybe you should consider having a home health care provider take over re-sponsibility for your father's physical care."
The client asks the nurse why a tricyclic antidepressant has not been prescribed for depression. What is the best response by the nurse?
1. "Tricyclic antidepressants have many side effects, including orthostatic hypotension, headache, and diarrhea." 2. "Tricyclic antidepressants cause sexual dysfunction." 3. "Tricyclic antidepressants are not recommended for a client with a history of heart attack." 4. "Tricyclic antidepressants cause weight gain."
Which statement relates to immune thrombocytopenic purpura (ITP)?
a. ITP is formed in conditions of low flow and is made up of mostly red cells with larger amounts of fibrin and few platelets. b. An alteration of multipotent stem cells, resulting in an excess production of platelets, causes ITP. c. Mononuclear phagocytes in the spleen remove antibody-coated platelets from circulation. d. Arterial clots are made up of mostly platelet aggregates held together by fibrin strands.
A nurse shines a light in the right pupil to test constriction and notices that the left pupil constricts as well. Based on these data, the nurse should take what action?
a. Document this finding as an abnormal finding. b. Assess the patient for accommodation. c. Document this finding as a consensual reaction. d. Assess the patient's corneal light reflex.