The nurses on your unit are using the University of Colorado Hospital Model to care for patients with pressure ulcers and to evaluate the care given. One of the steps in this model is to identify patient preferences
During this step of the model, the nurses would do which of the following? a. Review pathophysiology and etiology of pain and pressure ulcer progression for thepalliative care patient
b. Compare the patient's comfort, palliative care, and wound care measures againstinstitutional and national benchmarks. Review evidence-based literature
c. Discuss, document, and implement patient's wishes regarding advanced directives andcomfort care measures
d. Consult Acute Care Nurse Practitioner (ACNP) and other practitioners for pressure relief,
wound care, pain management, and comfort and palliative care measures
C
To identify patient preferences, you would discuss, document, and implement patient's wishes
regarding advanced directives and comfort care measures. None of the other options directly address
patient references.
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A recently widowed 74-year-old male is seen in the mental health clinic for sleep disorders and depression. Which of the following nursing actions demonstrate caring? (Select all that apply.)
a. Providing a private place to interview the client b. Delegating other tasks to a colleague while speaking to the client c. Addressing the client as "honey" to provide comfort d. Asking about his daily activities and hobbies during the interview e. Listening intently to his responses and not being distracted by his nonverbal communication
The nurse is completing a home care visit of an 86-year-old client. The client has been taking narcotic medication for the treatment of chronic pain from rectal cancer
The client reports a need to take twice as much pain medication for abdominal pain over the past 24 hours. The nurse interprets this report by the client as A) a need for the client's medication to be changed because of tolerance of opioids. B) not an unusual finding and the client should continue to adjust the medication as needed. C) a sign that there may be underlying issues that the client needs to have evaluated by a clinician. D) a need for the client to try alternative methods for pain relief instead of pain medication.
Increased intraocular pressure is a sign of what eye condition?
1. Dry eye 2. Dilating pupil 3. Cataract 4. Glaucoma
The registered nurse shared the immunization schedule with the new mother, pointed out the benefits and risks of immunization, and shared the immunization currently scheduled
The mother held the baby's leg as the nurse quickly gave the injection. The next day the mother called the clinic supervisor and stated she was going to sue because the baby's leg was red, swollen, and clearly painful and the infant had cried all night, keeping both of them awake. She expected appropriate action to be taken. What, if anything, should the nurse do? A. Explain that the mother was often noncompliant, so this whole complaint was probably just an attention-getting device. B. Point out to all concerned that if the leg was red, hot, and swollen, it could not have been from the injection. C. Remember that the mother had been informed of both benefits and risks and had held the baby's leg during the injection, so informed consent had been given. D. Stress that because of the young mother's lack of income, the injection had been free, so the mother had no right to complain.