In which areas have advanced practice nurses demonstrated their skill in improving? (Select all that apply.)
a. Health outcomes
b. Length of stay
c. Cost effectiveness
d. Reimbursement measures
e. Interprofessional communication
A, C
Advanced practice nurses have demonstrated their skill in improving health outcomes and cost effectiveness. Many of these advanced practice nurses have nursing facility practices managing complex care of frail older adults in collaboration with interprofessional teams. This role is well established, and positive outcomes include increased patient and family satisfaction, decreased costs, less frequent hospitalizations and emergency department visits, and improved quality of care. Reimbursement measures and interprofessional communication have not been identified as areas that advanced practice nurses have demonstrated their skill in improving.
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The nurse is assessing the fundal height of a pregnant client and notes the fundus is slightly above the symphysis pubis. Based on this data, the nurse determines that the client is how many weeks into the pregnancy?
1. 10-12. 2. 16. 3. 20-22. 4. 38.
Most individuals who have mitral valve prolapse never have any symptoms, although this is not the case for every patient. What symptoms might a patient have with mitral valve prolapse? Select all that apply
A) Anxiety B) Fatigue C) Shoulder pain D) Tachypnea E) Palpitations
What instructions would be important to give to a 50-year-old patient with type 2 diabetes who has been switched from glyburide (DiaBeta) to repaglinide?
A) "It is less potent, so you will need to take a larger dose." B) "It stimulates insulin production, so you need to eat soon after taking the medication." C) "It is more potent and longer lasting, so you should take it every other day." D) "The two medications are virtually the same."
The nurse is preparing to give a brevity flow tube feeding using a large syringe. Prior to infusion, the nurse should:
1. roll the patient flat. 2. check for residual and return to the stomach. 3. place the end of tube in water and check for bubbles. 4. flush tube.