The nurse in the critical care area is completing a preoperative checklist before sending a patient for surgery. This nurse's activity is an example of which recommendation issued by the Institute of Medicine?
1. Utilizing constraints
2. Simplifying key processes
3. Avoiding reliance on vigilance
4. Standardizing key processes
3
Rationale 1: Completing a preoperative checklist is not an example of utilizing constraints.
Rationale 2: Completing a preoperative checklist is not an example of simplifying key processes.
Rationale 3: Completing a preoperative checklist is an example of avoiding reliance on vigilance.
Rationale 4: Completing a preoperative checklist is not an example of standardizing key processes.
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The preceptor and novice nurse care for a male older adult client diagnosed with prostate cancer. The novice nurse asks, "Why is there no treatment ordered for this client?" Which response should the preceptor provide?
1. "The cancer is slow growing, so no treatment will be provided." 2. "The treatment significantly diminishes the patient's quality of life." 3. "The treatment available is only used to reduce the symptoms of the disease." 4. "Older patients that receive treatment have a significant risk for renal failure."
During an assessment of a patient's abdomen, frequent pulsations are noted in the epigastric region. What action by the nurse is indicated?
1. Document the findings as hyperactive bowel sounds. 2. Review the patient's medical records for signs and symptoms of cirrhosis, which may indicate ascites. 3. Note the time when the patient last voided. 4. Auscultate for a bruit.
Blood pressure is the result of cardiac output and peripheral vascular resistance
Indicate whether the statement is true or false
A nurse is performing an assessment on a newborn. Which vital signs indicate a normal finding for this age group? Select all that apply
a. Pulse of 80 to 125 a minute b. B/P of systolic 65 to 95 and diastolic 30 to 60 c. Temperature of 36.5° to 37.3° Celsius (axillary) d. Temperature of 36.4° to 37° Celsius (axillary) e. Respirations of 30 to 60 a minute