Using the RAI, the nurse identifies a trigger for a male nursing home resident who requires an indwelling urinary catheter from the MDS. Which should the nurse do next?
a. Develop an individualized care plan.
b. Assign suitable nursing interventions.
c. Use the RAPs.
d. Institute agency-approved catheter care.
C
The nurse uses the RAPs to assess triggers identified from the MDS. To help the resident achieve optimal functional status by determining his strengths, needs, and preferences, RAPs provide an organized framework used by the health care team for additional assessment of the trigger. The nurse develops the care plan after completing the RAPs. The nurse assigns suitable nursing in-terventions to the plan of care. The nurse uses agency-approved policies to provide care as as-signed in the plan of care.
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The nurse admits a client in hypovolemic shock, and receives the following orders from the physician: ? Initiate two large-bore IV lines. ? Obtain STAT CBC with differential. ? Type and cross for two units of whole blood
? Insert an indwelling catheter to monitor output. What order would the nurse perform first? 1. Initiate IV lines. 2. Complete requisitions for CBC. 3. Complete requisitions for blood. 4. Insert the indwelling catheter.
A 2-year-old child will receive several doses of an intramuscular medication. The nurse caring for this child will use which intervention to help the child cope with this regimen?
a. Allowing the child to give "pretend" shots to a doll with an empty syringe b. Allowing the child to select a Band-Aid to wear after each medication is given c. Ensuring privacy while giving the medication d. Explaining that the medicine will help the child to feel better
The nurse works to identify epidemiologic transitions in the community. Which is an example of a demographic transition?
A) High fertility and high mortality, resulting in slow population growth B) Progressive declines in mortality, as epidemics become less frequent C) High and fluctuating mortality, due to poor health, epidemics, and famine D) Further declines in mortality, increasing life expectancy, and predominance of noncommunicable diseases
The nurse promotes the self-concept of the parents of a 6-month-old infant admitted to the hospital with a fever and dehydration by
A) Telling the parents that the infant's condition was not their fault B) Allowing the parents to participate in the infant's care C) Encouraging the parents to visit the infant every other day D) Teaching the parents health-maintenance behaviors