A licensed practical nurse provides care on a postsurgical unit of a large, urban hospital
The nurse is aware that nursing documentation about patients is used in the administration of the prospective payment system (PPS) that applies to many patients' care. How would the principles of the PPS relate to patient care?
A) PPS is used to determine patients' health care costs before they receive care.
B) PPS is used to calculate the amount of care that a patient may receive before having to pay privately.
C) PPS is used to accurately and efficiently determine a patient's medical diagnosis and care plan.
D) PPS is used to communicate between care providers and relevant government departments.
A
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During an admission assessment of a patient with dementia, the nurse assesses for pain because the patient has recently had several falls. Which of these are appropriate for the nurse to assess in a patient with dementia? Select all that apply
a. Ask the patient, "Do you have pain?" b. Assess the patient's breathing independent of vocalization. c. Note whether the patient is calling out, groaning, or crying. d. Have the patient rate pain on a 1-to-10 scale. e. Observe the patient's body language for pacing and agitation.
A patient diagnosed with prostate cancer is scheduled for brachytherapy. The patient and his wife are unsure of the procedure's complications. They state that their daughter is 3 months pregnant
What teaching should the nurse provide to this family? A) The patient should not be in contact with the baby when it is born. B) The patient will be in the hospital for a period of a few days after surgery. C) The patient and his wife can have sexual intercourse without difficulty. D) The patient should avoid close contact with his daughter for 2 months.
A thin, cachectic-appearing client has hepatic portal-systemic encephalopathy (PSE). The family expresses distress that the client is receiving so little protein in the diet. Which explanation by the nurse is most appropriate?
a. "A low-protein diet will help the liver rest and will restore liver function." b. "Less protein in the diet will help with the confusion." c. "Despite looking so thin, protein will not help with weight gain." d. "Less protein is needed to prevent fluid from leaking into the abdomen."
When administering SSKI (saturated solution of potassium iodide) to a client, the nurse:
a. mixes the drug in carbonated soda to make it more palatable. b. asks if the client is allergic to iodine. c. encourages the client to drink the liquid without using a straw. d. documents the administration prior to giving the med.