The state board of nursing has notified a hospital about the changes in mandatory continuing education requirements for the nurses. The administration realizes these changes would impact which activity?
1. Regulations
2. Accreditation
3. Licensure
4. Life safety
3
Rationale 1: Regulations are rules or laws that govern delivery of care or maintenance of the facility or work environment.
Rationale 2: Accreditation is the process of evaluating actual care delivered to patients, the hospital's performance as an organization, and the outcomes of treatment for patients.
Rationale 3: Licensing regulations differ from state to state and impact the delivery of care, including the credentials and competency of employees.
Rationale 4: Life safety standards and regulations vary from state to state and include having the facility checked for building code compliance and safety standards.
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A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24 . When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this?
a. This weight gain indicates possible gestational hypertension. b. This weight gain indicates that the woman's infant is at risk for intrauterine growth restriction (IUGR). c. This weight gain cannot be evaluated until the woman has been observed for sev-eral more weeks. d. The woman's weight gain is appropriate for this stage of pregnancy.
The addition of folic acid to enriched foods is intended to reduce the occurrence of:
1. Premature births 2. Fetal alcohol syndrome 3. Hydrocephalus 4. Neural tube defects
A patient who was a resident at an assisted living facility now has an indwelling urinary catheter. The nurse realizes that which of the following will need to be done to help this patient with living needs?
1. Find out if the facility can apply for a special waiver to permit the patient to return to the assisted living facility. 2. Explain to the patient that he cannot return to the assisted living facility and plan to transfer him to a skilled nursing facility. 3. Explain to the patient that he cannot return to the assisted living facility and plan to transfer him to an intermediate care facility. 4. Ask the patient if any family members would be willing to have him live with them because there is no other facility where he can live.
During morning care, a UAP notes that thick green drainage is seeping around the appliance of a client's new ostomy. What should the UAP have been instructed to do?
1. Clean around the drainage. 2. Remove the ostomy appliance and cover the stoma with toilet tissue. 3. Perform complete ostomy care. 4. Report the drainage to the nurse.