The nurse manager is determining if efforts to empower the staff have been effective. Which action indicates that the staff has shifted the paradigm of care on the care area?
1. Routine use of new neoprene restraints when this is necessary for control.
2. Making rounds every 2 hours on patients not in restraints or seclusion.
3. Routinely involving the patient and family in the plan of care and treatment choices.
4. Staying in the nurses' station with locked glass windows while administering medications.
3. Routinely involving the patient and family in the plan of care and treatment choices.
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During a neurologic assessment, a nurse asks a patient to dorsiflex the foot against the resistance of the nurse's hand. The patient is unable to perform this action. Where does this assessment confirm that cord damage has occurred?
a. C4 to C5 b. L2 to L4 c. L5 d. S1
The recovery room nurse has just received a patient whose abdominal drain has an excessive amount of sanguineous drainage. The nurse contacts the physician without delay, recognizing that the drainage could indicate which critical situation?
1. A major wound infection 2. Need for further assessment 3. A potential respiratory crisis 4. Need to return immediately to surgery
Before otoscopic exam, the nurse should palpate which areas for tenderness?
A) Helix, tragus, and stapes B) Tragus, lobule, and concha C) Tragus, mastoid process, and helix D) Tragus, lobule, and mastoid
Knowing that discharge summary information is integral to the client's ongoing care, which of the point(s) regarding discharge summaries must the nurse be aware? Select all that apply
a. The discharge summary is important because many clients require follow-up care. b. A complete discharge summary is a guide for healthcare professionals in the community. c. The nurse can give a verbal transfer report, which is the same as a discharge summary. d. The discharge summary is the final note in the client's health record e. A complete discharge summary must be handwritten using the narrative note format.