Nurses providing care in a long term care settings should be very aware of the potential for which patient incident that is one of the primary causes of action in lawsuits against these facilities?
1. Medication errors
2. Abuse of residents
3. Resident falls
4. Inadequate resident nutrition
3
Rationale: Medication errors are certainly important and should be avoided. However, a different type of incident is more prevalent in this setting.
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The nurse working with a client with a maturational crisis suggests enhancing the client's stress
management skills by learning relaxation techniques. This intervention takes place at the level of care identified as a. primary. b. secondary. c. tertiary. d. quaternary.
You are caring for a client on a medical-surgical floor during the shift, and you did a complete head-to-toe assessment at the beginning of your shift. Toward the end of your shift, the client complains of abdominal pain in the surgical area
You did a focused assessment on the client and noticed the incision has started to rebleed. a. What is the difference between a focused assessment and a head-to-toe assessment? b. When should a head-to-toe assessment be done?
The client is receiving postural drainage from physical therapy and intermittent breathing treat-ments from respiratory therapy. Which type of care plan would be the ideal method to document interventions for this client?
1. Nursing Kardex 2. Computerized care plan 3. Critical pathway 4. Standardized care plan
The nurse is preparing an education session for women on prevention of urinary tract infections (UTIs). Which statement should be included?
1. Lower urinary tract infections rarely occur in women. 2. Back pain often develops with a lower urinary tract infection. 3. The most common causative organism of cystitis is Escherichia coli. 4. Wiping from back to front after a bowel movement will help prevent a UTI.