A home health nurse has been called to the home of an older postoperative cardiovascular client by the client's son. The son tells the nurse, "We're using a hospital bed here at home, but my mother has fallen out of bed three times." Which observation by the nurse reflects an increased risk of this client's falling out of bed?
A. The client's bed is in a low position.
B. The client is oriented to person, place, and time.
C. The caregiver uses the overbed table for feedings.
D. The caregiver leaves both siderails down while the client is in bed.
Ans: D. The caregiver leaves both siderails down while the client is in bed.
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The nurse knows the discontinuation of patient oxygen is based upon
A) vital signs. B) body temperature. C) pH of blood. D) the SaO2 on room air.
A community health nurse is engaged in the process aspect of quality management when he or she does which of the following?
A) Contributes to the revision of standards B) Ensures an adequate amount of resources C) Determines additional sources of funding D) Reviews services provided for client needs
Patients who are in shock have special needs, including nutritional needs. What are these special nutritional needs directly related to?
A) The use of albumin as a food source by the body because of the need for increased caloric intake B) The loss of fluids due to stress ulcers and decreased stomach acids due to increased parasympathetic activity C) The release of catecholamines that creates an increase in metabolic rate and caloric requirements D) The increase in gastrointestinal function during shock and the resulting diarrhea
In strategic planning for the upcoming year, the hospital has decided to institute a hiring freeze. Nurses whose employment is terminated or who choose to leave positions within the facility will not be replaced. What is the potential result of this decision?
1. This will increase the hospital's long-term profits. 2. The quality of nursing care will increase as the nurses who were not committed to the facility leave. 3. The hospital is likely to see a long-term financial loss. 4. The hospital will earn a reputation as being efficient and precise in the delivery of care.