Which of the following clients would be best served by a case manager?
A. 70-year-old woman with chronic cystitis
B. 55-year-old man with moderate hypertension
C. 65-year-old woman with chronic congestive heart failure and diabetes mellitus
D. 28-year-old man with a fractured ankle from a sports injury and seasonal allergies to molds and pollens
C
The case management process is reserved for clients who have complex health problems (high risk) and incur a high cost to the health care system.
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The parents of a newborn are concerned that their son's scrotum is enlarged and swollen on one side. What is the nurse's best response?
a. "It is very common in the newborn that one gonad is larger than the other." b. "Birth trauma caused bruising to the scrotum. It will reduce in size in a few days." c. "It is a collection of fluid that will most likely correct itself in a year." d. "The doctor will drain this collection of blood before your baby is discharged."
A nurse manager has identified that a major time waster is the amount of time spent on the telephone each day. Which strategy would help reduce this time?
1. Answer the phone, "Hello, how are you?" 2. Send all calls to voice mail. 3. Use e-mail for potentially troublesome issues. 4. Set a specific block of time to return calls.
An 82-year-old patient returns to the floor after being gone for 1 hour for an x-ray examination. On return, the nurse notes that 700 mL of fluid have infused during the last hour and the patient is short of breath
What is the nurse's best action? a. Check the intravenous (IV) site and document the findings. b. Slow the IV rate and notify the prescriber immediately. c. Discontinue the IV therapy and notify the prescriber immediately. d. Notify the prescriber and ask whether the IV therapy should be discontinued.
The nurse is evaluating a client who is experiencing chest pain. Which of the following should be included in this assessment? (Select all that apply.)
1. Grade the pain on a scale of 1 to 10. 2. Precipitating factors. 3. Assess for sleep disturbance. 4. Determine what was used to eliminate the pain. 5. Assess for sweating. 6. Determine if the pain is related to an injury or surgery.