A client has a chronic, nonhealing ulcer on the lower leg. The nurse thinks the client could benefit from negative-pressure wound therapy. The most appropriate action by the nurse would be to
a. ask the charge nurse to discuss the matter with the physician.
b. call the physician and request an order for a negative pressure machine.
c. keep track of supplies used currently to estimate the cost of continuing the present regimen.
d. request the physician write an order to consult the wound care nurse.
D
There are several options available for chronic, nonhealing wounds, including negative pressure therapy. Such wounds are best managed by a special team of wound care specialists, including a wound care nurse. The best way to collaborate with the physician to involve a wound care nurse is to apprise the physician of the problem and give a direct suggestion.
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A client with generalized anxiety disorder frequently skips weekly scheduled appointments with a primary nurse therapist in the managed care organization (MCO), showing up only when the client is feeling severely stressed
Which of the following statements best explains this behavior? 1. The client is aware that MCO's frequently "double-book" appointments to balance out the "no-shows." 2. The client does not have transportation for scheduled appointments with the therapist. 3. MCO consumers do not have to make co-payments for missed appointments. 4. MCO consumers find it easier than non-MCO consumers to not keep scheduled appointments, partly because services are prepaid.
In assessing the client who has had a prostatectomy and implantation of an artificial urinary sphincter, a nurse finds the client's left testis to have an irregularly shaped enlargement. What is the nurse's best action?
A. Elevate the scrotum and apply ice to the left testis. B. Document the finding as the only action. C. Compare the left testis to the right testis. D. Notify the physician.
The nurse manager has an adequate understanding of Six Stigma when making which of the following statements?
a. "The primary goal of Six Stigma is to in-crease profits and reduce problems.". b. "The primary goal of Six Stigma is to at-tract physicians to an organization.". c. "The primary goal of Six Stigma is adver-tisement of the organization.". d. "The primary goal of Six Stigma is to at-tract nursing to an organization.".
The patient receives morphine for pain. Which comment by the patient does the nurse assess to be a side effect of morphine?
1. "My ears are constantly ringing." 2. "My heart feels like it is skipping beats." 3. "I feel like I am going to throw up." 4. "I feel cold shivers all over."