Which of the following provides evidence that the U.S. health care system is in crisis? (Select all that apply.)
a. Full-time employees may not have health insurance as a benefit.
b. Incompetent or negligent nurses are an ongoing source of medical errors.
c. Long work hours and provider fatigue are a major factor in medical errors.
d. More punitive measures must be taken to decrease provider errors.
ANS: A, C
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The nurse is conducting a health history interview. By making direct eye contact with the client, which interactional skill is the nurse using with this client?
1. Attending. 2. Paraphrasing. 3. Focusing. 4. Reflecting.
A patient has been admitted with acute asthma and has had nausea and vomiting. Drug history reveals that the patient has been taking theophylline (Elixophyllin) for 3 weeks
Prior to the ad-ministration of theophylline the nurse should check the orders for a. renal function tests. b. a plasma drug level. c. a basal metabolic panel (BMP). d. complete blood count. (CBC).
A nurse is providing care to a woman during the third stage of labor. Which of the following would alert the nurse that the placenta is separating? (Select all that apply.)
A) Boggy, soft uterus B) Uterus becoming discoid shaped C) Sudden gush of dark blood from the vagina D) Shortening of the umbilical cord
What disorder of the testes is most likely the diagnosis?
A 29-year-old married computer programmer comes to your clinic, complaining of “something strange” going on in his scrotum. Last month while he was doing his testicular self-examination he felt a lump in his left testis. He waited a month and felt the area again, but the lump was still there. He has had some aching in his left testis but denies any pain with urination or sexual intercourse. He denies any fever, malaise, or night sweats. His past medical history consists of groin surgery when he was a baby and a tonsillectomy as a teenager. He eats a healthy diet and works out at the gym five times a week. He denies any tobacco or illegal drugs and drinks alcohol occasionally. His parents are both healthy. On examination you see a muscular, healthy, young-appearing man with unremarkable vital signs. On visualization the penis is circumcised with no lesions; there is a scar in his right inguinal region. There is no lymphadenopathy. Palpation of his scrotum is unremarkable on the right but indicates a large mass on the left. Placing a finger through the inguinal ring on the right, you have the patient bear down. Nothing is felt. You attempt to place your finger through the left inguinal ring but cannot get above the mass. On rectal examination his prostate is unremarkable. A) Hydrocele B) Scrotal hernia C) Scrotal edema D) Varicocele