Nurses should also evaluate the outcome achievement of the shift after it has ended. Some of the key questions that nurses should ask regarding post-shift evaluation of outcome achievement are listed below. Which is not necessarily correct?
a. Did the staff achieve the outcomes?
b. Did the patients achieve the outcomes?
c. Did the health care providers achieve the outcomes?
d. Were there staffing problems or patient crises?
C
Post-shift evaluation of outcome achievement is an important function for nurses in order to determine the success or need for improvement in shift-oriented patient care. Some questions that should be asked in regard to this post-shift evaluation include: 1) did the staff achieve the outcomes?; 2) did the patients achieve the outcomes? (not did the health care providers achieve the outcomes?); 3) were there staffing problems or patient crises?; and 4) what was learned from this for future shifts?
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An older client with a history of peptic ulcer disease is diagnosed with a vitamin B12 deficiency. What must the nurse teach the client?
1. Pay close attention when using hot water, handling hot surfaces, and while cooking. 2. Be alert to cognitive changes, memory impairment, and depression symptoms. 3. Blood work will need to be done in the doctor's office frequently to check for anemia. 4. Medications used to treat peptic ulcer disease can block the absorption of vitamins.
A client with myasthenia gravis demonstrates diplopia, ptosis, and dysphagia. The client is ordered to receive pyridostigmine bromide (Mestinon). What would indicate a positive outcome?
a. Increase in the ability to sleep b. Decrease in muscle weakness c. Increase in hemiparesis d. Decrease in metabolic rate
The nurse dispensing medications to clients is aware that the route of administration affects a medication's rate of absorption. Which of the following forms of drugs would be absorbed the quickest?
A) Suppositories B) Medications instilled in nasogastric tube C) Eye drops D) Oral capsules
Which of the following individuals demonstrates a health problem with his or her axial skeleton?
A) A 21-year-old male who fractured his humerus while snowboarding. B) A 40-year-old man who has a contusion to the left temporal bone of his skull following a motor vehicle accident. C) A 79-year-old female who has undergone hemiarthroplasty (hip replacement surgery). D) A 30-year-old pregnant woman who has a separated pubic symphysis.