The advanced nurse practitioner is routinely addressed as "doctor" by clinic patients. What is the best way for the nurse to handle this mistake?

1. Accept the mistake with good humor and ignore it.
2. Only allow this practice if the ANP has an earned doctorate.
3. Ask the patients to address the ANP by first name.
4. Be certain patients are aware that the nurse is not a physician.


4
Rationale: The ANP must be certain that patients understand the role difference between ANP and physician. The practice should not be ignored. While it is true that an ANP with an earned doctorate has the right to be addressed as "doctor," in the clinic situation, this may lead to confusion between the roles, which are sometimes confusing to patients anyway. Unless the physician is called by first name, the ANP should be addressed as Miss, Mrs, Ms, or Mr, as the situation dictates.

Nursing

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An acute care facility is working to decrease the risk of nosocomial infections in older patients. Which preventative action should be included?

1. Limit the sanitization of equipment. 2. Adopt aspiration precautions for dysphagia. 3. Provide antibiotics as prescribed for viral infections. 4. Insert an indwelling urinary catheter for urinary incontinence.

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A patient is recovering after receiving sedation for a contrast medium study and has a score of 1 using the Modified Ramsay Sedation Scale. What action by the nurse is most appropriate at this time?

a. Document these normal findings. b. Prepare to increase the oxygen flow. c. Administer a drug-reversal agent. d. Listen to the breath sounds.

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A patient has a long history of smoking. He has blood studies done because he is very tired, is short of breath, and just does not feel well. His blood gases reveal the following findings: pH, 7.30; HCO3 27 mEq/L; CO2, 58 mmHg. What is the interpretation of these gases?

a. Respiratory alkalosis b. Metabolic acidosis c. Respiratory acidosis d. Metabolic alkalosis

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