A term neonate has a brief history of lethargy and poor feeding. Upon examination, the neonate is noted to be pale, mottled, and diaphoretic. Palpation reveals strong pulses in the upper extremities and diminished pulses in the lower extremities. The following data are obtained: axillary temp 36.6; HR 176; RR 84 bpm; cap refill 5 seconds; urine output 0.2mL/kg/hr. A diagnostic step that is useful is:
a. assessing for the presence of a diastolic murmur
b. drawing serial blood gases in room air and 100% oxygen
c. obtaining blood pressures in all 4 extremities
Answer: c. obtaining blood pressures in all 4 extremities
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The staff educator is presenting a workshop on valvular disorders. When discussing the pathophysiology of aortic regurgitation, the educator emphasizes that aortic regurgitation causes what?
A) Cardiac tamponade B) Left ventricular hypertrophy C) Right-sided heart failure D) Ventricular insufficiency
The leadership team for a multisystem healthcare organization learns that Medicare reimbursement will be 10% lower for the next quarter. Which data should the team analyze to determine the reason for this decline in reimbursement? Select all that apply.
A) Fall rates B) Staff turnover C) Surgical errors D) CAHPS surveys E) Readmission rates
The nurses on your unit are using the University of Colorado Hospital Model to care for patients with pressure ulcers and to evaluate the care given. One of the steps in this model is to identify patient preferences
During this step of the model, the nurses would do which of the following? a. Review pathophysiology and etiology of pain and pressure ulcer progression for thepalliative care patient b. Compare the patient's comfort, palliative care, and wound care measures againstinstitutional and national benchmarks. Review evidence-based literature c. Discuss, document, and implement patient's wishes regarding advanced directives andcomfort care measures d. Consult Acute Care Nurse Practitioner (ACNP) and other practitioners for pressure relief, wound care, pain management, and comfort and palliative care measures
A client who is married and has children has been diagnosed with a mental illness. The nurse conducts a teaching session with the client's family on how to manage stress in their lives related to this new situation
Which of the following should be documented regarding the teaching session? Select all that apply. A) The family's response to the session B) The educational content discussed with the family C) The nursing diagnosis D) The assessment of the client E) The purpose for the educational interaction