A client has a medical diagnosis of cerebrovascular accident with resulting right-sided paralysis. The client can no longer pursue his occupation as a landscaper. What would be an appropriate nursing diagnosis?
1. Powerlessness
2. Ineffective role performance
3. Activity intolerance
4. Self-care deficit
ANS: 2
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Medicare payment for a client admitted to the hospital is determined by a system that bases its payment on the actual diagnosis known as diagnosis-related groups (DRGs). This classification system pays a provider by:
1. The total cost for the care provided. 2. An average of the total costs. 3. The usual and customary charge. 4. A set amount for a specific condition.
The nurse has delegated the collection of a clean catch urine specimen to the unlicensed assistive personnel (UAP). Which statement by the UAT indicates an appropriate understanding of the procedure?
1. "I will have the client urinate in the specimen container the next time he or she urinates." 2. "I will provide the client with sterile gloves for collecting the urine specimen." 3. "I will ask the client to cleanse the urethra to avoid contamination of the urine specimen." 4. "I will watch the client obtain the urine specimen to ensure correct obtainment."
If an older person with hearing impairment complains of not being able to hear what the nurse is saying, what could be a contributing cause of this?
a) normal age-related changes b) build up of cerumen c) the nurse not facing the person when speaking d) all of the above
A pregnant patient asks when the sex of the baby can be determined. Which response by the nurse is accurate?
A) "If you want, we can do an ultrasound today." B) "The fetus is still developing until 24 weeks, you must wait." C) "The provider usually does an ultrasound at 20 weeks." D) "Fetal organs are developed by 12 weeks and would require an ultrasound after that time."