As a result of seizure activity, a CT scan was performed and showed that an 18-month-old child has an intracranial arteriovenous malformation. The nurse would focus measures on prevention of which of the following?
A) Drug interactions
B) Developmental disabilities
C) Hemorrhagic stroke
D) Respiratory paralysis
C
Response:
The nurse would focus measures on prevention of hemorrhagic stroke. Drug interactions are a risk for children who are treated with combinations of anticonvulsants for epilepsy. Children with hydrocephalus are at an increased risk for developmental disabilities. Respiratory paralysis is a risk of botulism, which typically affects infants less than 6 months of age.
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The nurse teaches a client who is newly diagnosed with coronary artery disease. Which instruction does the nurse include to minimize complications of this disease?
a. "Rest is the best medicine at this time. Do not start an exercise program." b. "You are a man; therefore there is nothing you can do to minimize your risks." c. "You should talk to your provider about medications to help you quit smoking." d. "Decreasing the carbohydrates in your diet will help you lose weight."
When administering alendronate (Fosamax) to a patient with osteoporosis, the nurse will
a. ask about any leg cramps or hot flashes. b. assist the patient to sit up at the bedside. c. be sure that the patient has recently eaten. d. administer the ordered calcium carbonate.
Which program offers an incentive to hospitals to discharge patients as quickly as possible?
a. Retrospective payment system b. Prospective payment system c. Seamless system d. Private insurance plans in effect for under 1 year
A client recovering from total knee replacement surgery falls out of bed on the night shift and dies. Which quality improvement actions should the nurse manager expect to complete for this client occurrence?
1. A root cause analysis 2. Paperwork about a sentinel event 3. Analysis of the nurse assigned to the client 4. Number of times the client was observed on the night shift 5. Number of hours since the client last received pain medication