The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?
a. Osteoporosis
b. Arthritis
c. Kyphosis
d. Osteomyelitis
C
Kyphosis, usually caused by osteoporosis, is a curvature of the spine that alters respiration and air exchange.
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A woman in the first trimester of her first pregnancy is upset and worried about physical changes, the labor and birth process, and being able to care for a newborn. Which action by the nurse is best?
A. Ask the woman about her exposure to newborns. B. Assess the woman for access to a knowledgeable support person. C. Provide information about childbirth preparation classes. D. Reassure the woman that these fears are natural.
A lawsuit is brought against a nurse in a rural hospital. The nurse replies that the standard of care for rural nurses is different from that for nurses working in large urban facilities. Is this a defensible position?
1. No; rural nurses work in a slower paced environment, so they have more time to provide quality personal care. 2. Yes; the rural nurse does not have access to the same quality of inservice education as the urban nurse. 3. No; nurses in rural settings must meet the same standards as those practicing in large urban areas. 4. Yes; it is well known that rural health care is substandard as compared to urban health care.
A hospital has implemented a policy whereby parental consent is required before a PKU test is drawn. The laboratory technician says,
"I don't see why we need a special consent for a PKU. It is a blood test just like a potassium level." How should the nurse respond? 1. "I don't understand either, but we should follow the rules." 2. "Isn't a PKU more expensive to run than simple tests like potassium levels?" 3. "PKU is a genetic test, which is different from a simple electrolyte level." 4. "Before long we will have to get consent for each test we draw."
The Institute of Medicine Report (2011):
a. recommended that only physicians have the legal privilege to prescribe medications. b. called for increasing the number of baccalaureate-prepared nurses in the workforce to 80% by 2020. c. called for a minimum staffing ratio be in place in no later than 10 years. d. called for nurse technicians to provide care during the nursing shortage.