The nurse uses information gathered during the assessment phase to benefit client care in what way?
1. To schedule a client's care
2. To contribute to the development of an individualized plan of care
3. To determine the cause of the client's health problem
4. To determine what medications should be prescribed
2
Rationale 1: Baseline assessments assist the nurse to develop an individualized plan of care specifically aimed at that client's needs. Clients' care can be scheduled with consideration to clients' preferences, but is also determined by client needs. Cause of health problems and medications are the provider's responsibility.
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After teaching a group of students about the various models used in program evaluation, the instructor determines that the students have understood the teaching when they state that which of the following is the most basic model?
A) Quality health outcomes model B) Donabedian model C) ANA model D) Omaha system model
During an admission assessment, the nurse collects objective and subjective data. What is an example of subjective data?
a. The patient complains of nausea. b. The patient is vomiting. c. The patient experiences tachycardia. d. The patent is pacing the halls.
The nurse is caring for a patient with severe sepsis who was resuscitated with 3000 mL of lactated Ringer solution over the past 4 hours. Morning laboratory results show a hemoglobin of 8 g/dL and hematocrit of 28%
What is the best interpretation of these findings by the nurse? a. Blood transfusion with packed red blood cells is required. b. Hemoglobin and hematocrit results indicate hemodilution. c. Fluid resuscitation has resulted in fluid volume overload. d. Fluid resuscitation has resulted in third spacing of fluid.
The nurses at a university hospital have been informed that a computerized record system will be implemented over the next 12 months. The nurses should be aware that such as system presents particular challenges in the area of
A) vulnerability to errors in charting and the inability to make changes. B) patient privacy and confidentiality of records. C) enforcing compliance with the system on the part of nurses. D) ensuring compatibility with different computer operating systems.