The nurse is reviewing a patient's post-hospitalization survey, which states that the care received was "adequate.". The nurse realizes this information is considered as which quality standard?
1. Outcome
2. Process
3. Structure
4. Continuous quality improvement
Outcome
Rationale: Outcome standards address the patient's perception of quality care. Process standards focus on activities, interventions, and the sequencing of caregiving events. Structure standards focus on the internal characteristics of the organization and personnel. Continuous quality improvement is a process of improving a system by collecting data and proposing changes through the use of a multidisciplinary team.
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.Before a client's amputation, the nurse would counsel that the client may experience "phantom sensation" after surgery, which is
a. the sensation that the leg is still there. b. experiencing painful feelings in the amputated leg. c. neuropathy that may delay prosthesis fitting. d. part of establishing a new center of gravity.
The client undergoing preoperative assessment before an elective procedure tells the nurse that she has been taking 10 mg of prednisone daily for rheumatoid arthritis. What is the nurse's best action?
A. Notify the surgeon and anesthesiologist. B. Document the information as the only action. C. Reschedule the surgery in 2 weeks when the client has cleared the drug from her system. D. Suggest that the client switch to a nonsteroidal anti-inflammatory agent for pain relief.
A nurse is preparing to administer morning medications. The nurse notes that a patient with a history of hypertension is taking captopril (Capoten) concurrently with spironolactone (Aldactone)
Morning laboratory results reveal a serum sodium level of 144 mg/dL, a serum potassium level of 4.5 mEq/L, and a blood glucose level of 128 mg/dL. Which of the following interventions should the nurse use? a. Administer the medications as ordered. b. Clarify the order with the prescriber. c. Confer with the prescriber about increasing the captopril dose. d. Request that the spironolactone be changed to mannitol (Osmitrol).
In comparison to pemoline (Cylert) and methylphenidate (Ritalin), atomoxetine (Strattera) may prove to:
a. be less effective in the treatment of attention-deficit disorder b. worsen depression and cause suicidal ideation c. have less potential for abuse in susceptible individuals d. be more sedating and cause weight gain