A male patient has been admitted with congestive heart failure. Although the patient is sitting in a semi-Fowler position, the nurse cannot auscultate distinct heart tones. The nurse will correctly first
1. Document that the heart tones are muffled.
2. Count the apical rate as best as possible and then document it.
3. Have the patient lean forward and toward his left side.
4. Report the findings to the charge nurse.
ANS: 3
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A group of tenured nursing faculty at a major university votes on whether a faculty member should receive tenured status. This type of decision making is referred to as:
a. autocratic decision procedure. b. consultative decision procedure. c. delegated decision procedure. d. joint decision making.
The Joint Commission has taken action to encourage healthcare organizations to reduce the incidence and impact of errors. How has the Joint Commission acted to facilitate these improvements in care?
A) By delineating the scope of practice for registered nurses and practical (vocational) nurses B) By providing a forum for patients to report errors and substandard care C) By funding safety education in medical schools and nursing schools D) By standardizing the measures by which safety in hospitals is gauged
The___________ is a combination of the drug dose administered and how the body metabolizes the drug.?
A) therapeutic effect B) therapeutic range C) drug interaction D) target concentration
A novice nurse is learning about various tools that nurses may use to aid in therapeutic communication in the nurse-patient relationship. What does the nurse recognize as true regarding the concept of process recording?
1. The purpose is to record the nurse-patient interaction and provide a guideline for therapeutic care. 2. The purpose is to allow the patient to actually hear what the nurse stated in the nurse-patient interaction. 3. The purpose is to allow the nurse to actually hear what the patient heard in the nurse-patient interaction. 4. The purpose is to reflect on and evaluate the dynamics of a specific interaction and to provide a sample of interaction for consideration in supervision or consultation with others.