How many violations of Medicare and Medicaid guidelines are evident in this documentation?
Patient assaulted nurse in hall at 1730
Staff provided verbal intervention, but patient continued to strike out. Patient placed in seclusion at 1745 . Observation instituted at hourly intervals. Order received from physician at 1930 . Patient sleeping soundly at 2100 . Patient released from seclusion at 2230 and returned to own room.
a. Two
b. Three
c. Four
d. Five
D
Constant observation of a secluded individual is necessary, with attention given at frequent intervals for safety and comfort interventions. No mention is made of providing fluids or bathroom privileges. Seclusion requires a written order posted within 1 hour. Seclusion must be terminated when patient behavior permits. If the patient is calm enough to sleep, the need for seclusion should be reevaluated. The patient should be debriefed after the seclusion.
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Culture and social class usually set precedent for different roles and responsibilities of each family member. The healthiest family is one in which the:
1. father assumes the role as breadwinner. 2. mother assumes the role as homemaker. 3. father or mother shares the roles of breadwinner and homemaker. 4. roles of breadwinner or homemaker can be shifted as needed.
A client just experienced an episode of reflux with regurgitation. What assessment by the nurse is the priority?
a. Auscultate the lungs for crackles. b. Inspect the oral cavity. c. Check the oxygen saturation. d. Teach the client to sleep sitting up.
Which finding indicates that endocrine pharmacotherapy has been successful in treating a male client?
A. Patient reports reduced difficulty in achieving and maintaining an erection. B. Patient's sperm count is 22 million/mL. C. Patient's ejaculate volume is 2 mL. D. Patient reports pleasure with intercourse.
What term is used to describe the capacity of some erythrocytes to vary in size, especially in relationship to some anemias?
a. Poikilocytosis b. Isocytosis c. Anisocytosis d. Microcytosis