The Joint Commission now requires which of the following to be documented in the client record?
a. evidence of informed consent to participate in the plan of care
b. the process by which the plan of care is developed
c. an individualized plan of care for the client
d. the number of health care professionals who participated in development of the care plan
C
Accreditation of health care facilities by The Joint Commission involves review of written records to ensure that each client has an individualized plan of care in which the client or family and all appropriate health care disciplines are involved. When nurses document each step of the nursing process, they confirm that a client's plan of care is in compliance with The Joint Commission requirements.
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The nurse is providing education to a client who will be having a hypophysectomy. What should the nurse be sure to include to preventing complications?
A) Lay in the supine flat position to avoid an increase in intracranial pressure. B) Avoid drinking from a straw, sneezing, coughing, and bending over. C) When the packing is removed, you may blow your nose to clear the clot. D) Brush teeth with a firm bristle toothbrush.
The student nurse would learn that there are what types of family violence? (Mark all that apply.)
A) Child maltreatment B) Elder abuse C) Sibling rivalry D) IPV E) Spousal neglect
The patient has a temperature of 105.2° F. The nurse is attempting to lower his temperature by providing tepid sponge baths and placing cool compresses in strategic body locations
The nurse is attempting to lower the patient's temperature through the use of a. Radiation. b. Conduction. c. Convection. d. Evaporation.
An instructor explains that safety precautions must be followed anytime oxygen is in use. A student shows a need for additional instruction by saying:
1. "I should eliminate the possibility of static electricity, which could spark a fire." 2. "I should avoid using petroleum-based products such as petroleum jelly on the lips of patients using supplemental oxygen." 3. "I should provide a higher liter flow of oxygen for patients with chronic lung disease." 4. "I should check the electrical devices, such as electric razors, in the room to ensure that there are no frayed wires."