The 1990s saw changes in health care that continue to impact today's health care environment. Which result best reflects the outcome of these changes?

A) Increased representation of RNs and LPNs/LVNs in the staffing mix
B) Increased numbers of nursing administrators and fewer staff nurses
C) Increased numbers of UAPs and reduced numbers of RNs
D) Decreased use of ancillary health care support workers


C

Nursing

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Within the first hour following a vaginal delivery, the nurse assesses the mother and finds the fundus is firm and there is a trickle of bright red blood. What should be the nurse's reaction to the assessment?

a. This is a normal occurrence. b. This is abnormal and should be reported. c. The patient should be administered a blood thinner. d. The patient should be restricted to bed rest.

Nursing

A patient with borderline personality disorder cut her wrists while out on a pass. For future planning, staff should consider that the reason for the self-mutilation is probably related to:

a. an inherited disorder that manifests itself as an incapacity to tolerate stress. b. fear of abandonment associated with relationships or increasing autonomy. c. use of projective identification and splitting to bring anxiety to manageable levels. d. a constitutional inability to regulate affect, predisposing to psychic disorganization.

Nursing

Since the nurse is unable to obtain an average-sized cuff to assess an adult patient with a large arm, the nurse uses an oversized cuff. What blood pressure reading will the nurse most likely obtain for this patient?

A) Correct reading B) Reading will be low C) Reading will be high D) Reading cannot be obtained

Nursing

The parents are concerned about how their teen will be able to handle normal daily activities because of the brace. The nurse would offer which of the following instructions to help the family cope with this new challenge:

a. Instruct parents to remove any potential hazards in the home b. Instruct the teen to be especially careful when walking in the school halls when changing classes c. Put clothing on lower part of the body while sitting in a chair d. All of the above

Nursing