Which of the following is a National Patient Safety Goal? (Select all that apply.)
a. Accurately identify patients.
b. Eliminate use of patient restraints.
c. Reconcile medications across the continuum of care.
d. Reduce risks of healthcare-acquired infection.
A, C, D
All except for eliminating use of restraints are current National Patient Safety Goals. Hospitals have policies regarding use of restraints and are attempting to reduce the use of restraints; however, this is not a National Patient Safety Goal.
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You are the nurse caring for an elderly patient with cardiovascular disease. The patient comes to the clinic with a suspected respiratory infection and is diagnosed with pneumonia
As the nurse, what do you know about the altered responses of older adults? A) Treatments for older adults need to be rapid and less intense than treatments used in the younger population. B) The altered responses of older adults reinforce the need for the nurse to monitor all body systems to ascertain signs of impending systemic complication. C) The altered responses of older adults define the nursing interactions with the patient. D) Older adults become hypersensitive to antibiotic treatments for infectious-disease states.
The client who is taking corticosteroids daily for severe asthma now has an elevated blood glucose level. He asks the nurse if he is now considered diabetic. What is the nurse's best re-sponse?
A. "Yes, the corticosteroids have destroyed the ability of the pancreas to synthesize insulin." B. "Yes, whenever blood glucose levels are abnormally high, the condition is called diabetes." C. "No, the blood glucose level is elevated because corticosteroids increase the syn-thesis of glucose." D. "No, the lack of insulin is temporary and will return to a normal level when the asthma is better."
An adolescent asks a nurse conducting an assessment interview, "Why should I tell you anything? You'll just tell my parents whatever you find out." Which response by the nurse is appropriate?
a. "That isn't true. What you tell us is private and held in strict confidence. Your parents have no right to know." b. "Yes, your parents may find out what you say, but it is important that they know about your problems." c. "What you say about feelings is private, but some things, like suicidal thinking, must be reported to the treatment team." d. "It sounds as though you are not really ready to work on your problems and make changes."
A patient has a 3 cm in diameter lesion in the left axilla that is deep, painful, and contains pus. Which type of lesion should the nurse document in the patient's medical record?
A. Furuncle B. Carbuncle C. Herpes varicella D. Folliculitis