A nurse began working at a local hospital and learned that the hospital had just instituted a "hand-off" protocol. What will the nurse be doing?
a. Performing transfer reports
b. Completing IV fluid flow sheets
c. Using standardized care plans
d. Reviewing laboratory reports
A
Examples of hand-off reports include change-of-shift reports and transfer reports. A hand-off report occurs any time one health care provider transfers care of a patient to another health care provider. The purpose of hand-off reports is to provide better continuity and individualized care for patients. Flow sheets are part of the permanent health record and provide a quick and easy reference for assessing changes in a patient's status. Standardized care plans, based on institution standards of nursing practice, are preprinted established guidelines of care for patients with sim-ilar health problems. The laboratory submits a written report providing the results of diagnostic tests.
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A nurse manager writes the following note: "Over personnel budget by $1,250 in April due to late snowstorm. Nurses unable to get to work. Overtime wages paid." Why is this note important?
1. It will help the manager create the budget for the next year. 2. It is required by The Joint Commission. 3. All variances must be documented and forwarded to the hospital attorney. 4. It ensures that there is no question of diversion of hospital funds.
Percentages that estimate the probability of inferences in a study being correct are reported as
a. confidence intervals. b. standard deviations. c. percentiles. d. correlations.
A nurse offers homeless clients yearly tuberculosis (TB) screening and free treatment for those who test positive for TB. Which of the following levels of prevention is being used?
a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Secondary and tertiary prevention
You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M., a man who has been coming to the clinic for several years for management of coronary artery disease (CAD) and hypertension (HTN)
A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a chest x-ray (CXR) examination revealed cardiomegaly, and a 12-lead electrocardiogram (ECG) showed sinus tachycardia with left bundle branch block (LBBB). You review J.M.'s morning blood work and initial assessment. Laboratory Results Chemistry Sodium 142 mEq/L Chloride 95 mEq/L Potassium 3.9 mEq/L Creatinine 0.8 mg/dL Glucose 82 mg/dL BUN 19 mg/dL Complete Blood Count WBC 5400/mm3 Hgb 11.5 g/dL Hct 37% Platelets 229,000/mm3 Initial Assessment Complains of increased fatigue and shortness of breath, especially with activity, and "waking up gasping for breath" at night, for the past 2 days. Vital Signs Temperature 97.9 ° F (36.6 ° C) Blood pressure (BP) 142/83 mm Hg Heart rate 105 beats//min Respiratory rate 18 breaths/min As you review these results, which ones are of possible concern, and why?