A patient presents with findings suggestive of pulmonary embolism. The D-dimer test is negative. How does the nurse interpret this finding?
1. The patient has a pulmonary embolism.
2. Additional testing is necessary, but a pulmonary embolism is unlikely.
3. There is 4% likelihood that the test is incorrect.
4. The test should be repeated in 48 hours.
2
Rationale 1: A negative D-dimer does not support the diagnosis of pulmonary embolism.
Rationale 2: A negative D-dimer indicates that a pulmonary embolism is unlikely. Additional tests to discover the etiology of the symptoms are necessary.
Rationale 3: There is no indication that the test is incorrect.
Rationale 4: There is no indication that the test should be repeated.
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The spouse of a client being treated for depression believes the client is not responding to prescribed medication. Which statements by the nurse are appropriate when responding to the client's spouse?
Select all that apply. A) "Stop the medication immediately." B) "A trial-and-error period is the best way to determine which medication is the most effective." C) "A trial of 4 to 6 weeks is usually done to see how people respond to the medication." D) "Stay on the medication for 6 months to see if there is a response." E) "Learn to live with the depression."
To prepare staffing schedules, a nurse manager needs to calculate paid nonproductive time. When calculating paid nonproductive time, the nurse manager considers:
a. Work time, educational time, and holiday time. b. Paid hours minus worked hours. c. Vacation time, holiday time, and sick time. d. Paid hours minus meeting time.
Randomness is a tool that can be used to combat bias in studies
A) True B) False
A patient with a spinal cord injury is being assessed by the nurse prior to his discharge home from the rehabilitation facility. The nurse is planning care through the lens of the interface model of disability
Within this model, the nurse will plan care based on what belief? A) The patient has the potential to function effectively despite his disability. B) The patient's disabling condition does not have to affect his lifestyle. C) The patient will not require care from professional caregivers in the home setting. D) The patient's disability is the most salient aspect of his personal identity.