The nurse is assessing a child with Down syndrome. The child is at greater risk of developing which illness than children who do not have Down syndrome?
1. Rheumatic heart disease
2. Glomerulonephritis
3. Leukemia
4. Hepatitis
3
Rationale 1: Heart defects might be seen with Down syndrome, but not rheumatic heart disease, which is associated with Group A beta-hemolytic streptococcus infection.
Rationale 2: Glomerulonephritis is not seen in association with Down syndrome.
Rationale 3: Children with Down syndrome have a significantly higher than average risk of developing leukemia.
Rationale 4: Hepatitis is not associated with Down syndrome.
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A health care organization is using the quality concepts of lean thinking and decentralization as part of their redesign efforts
Which initiatives would this organization undertake? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Any changes to processes in the facility will be approved at the vice president level. 2. Nurses who have made over five medication errors in the last 12 months will be terminated. 3. Outcome data will be analyzed to identify successful interventions. 4. The primary focus will be on a few major initiatives. 5. Previous quality improvement efforts may or may not be discarded.
A hospital client with a diagnosis of chronic renal failure has orders for measurement of her serum electrolyte levels three times per week
Which of the following statements best captures the relationship between renal failure and sodium regulation? A) Clients with advanced renal failure are prone to hyponatremia because of impaired tubular reabsorption. B) Renal clients often require a sodium-restricted diet to minimize the excretion load on remaining nephrons. C) Clients with renal failure often maintain high sodium levels because of decreased excretion. D) Restricting sodium intake helps to preserve nephron function and has the additional benefit of lowering blood pressure.
A member of a patient's family calls the nurse manager of the palliative care unit to express concern that a member of the family, who died on the weekend, had requested analgesics from the RNs on duty
An RN came with the analgesic nearly 45 minutes later, just after the patient had died. The manager is aware that the unit was especially busy that weekend because many patients were seriously ill, staff had called in ill, and the staffing manager was unable to completely replace staff who were absent. The manager is deeply troubled that the family member had to die in pain because it violates what she knows should have been done. This manager is experiencing: a. Compromised agency. b. Moral distress. c. Moral sensitivity. d. Moral dilemma.
The AONE identifies important principles for nurse managers and executives. Which statements represent these principles? Select all that apply
1. Relationships are important. 2. The core of nursing is caring. 3. Knowledge is synthesized. 4. Care is patient- and family-centered. 5. Nurse managers are the same as nurse leaders.