As a nurse manager, you have been asked to assist in designing a subacute facility for open heart patients who require further complex care after hospitalization. In setting up the facility, which of the following would require reassessment?
a. Patients admitted to the facility must have adequate health insurance to cover the services provided.
b. A local nurse education program asks you if nursing students can gain clinical expe-rience with recovering surgical patients in the facility.
c. Public funding will be provided to enable care of patients who have an ordinary course of recovery.
d. The facility is an older house that is more than 30 minutes away from the acute care center.
D
Because of the types of patients being accepted for care and the distance of the subacute facility from acute care, emergency response and seamless transfer issues in the event of an unanticipated crisis must be addressed. As a nurse manager, an important part of your position may be assisting to develop strategies to maximize the benefits and minimize the risks in this situation.
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A client has recently been changed from intermittent tube feedings to a cyclic feeding schedule, in which the client receives feedings for 8 to 12 hours followed by several hours without feedings
What is the most likely rationale for this change in the client's feeding schedule? A) The client's nutritional needs are lower than they previously were. B) The client is transitioning from tube feedings to oral food intake. C) The client has experienced a fluid imbalance or electrolyte imbalance. D) The client's activity level and mobility have increased.
The nurse is caring for a client who is developing hypovolemic shock from a duodenal ulcer bleed. What is the first intervention the nurse can provide to facilitate blood flow to the brain?
A) Prepare the client for an endoscopy. B) Administer a crystalloid solution. C) Place the client in a modified Trendelenburg position. D) Test the client for blood in the stool.
While completing a nursing degree in Virginia, a student who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-Americans live there. This nursing student values:
a. cultural competence. b. ethnocentrism. c. prejudice. d. stereotyping.
Nursing knowledge that is needed in order to enable empowerment includes:
a. ethical principles and decision-making process. b. values development and their impact on choices. c. scientific principles and evidence-based practice. d. a and b. e. all of the above.