Following a gastrectomy, the nurse would anticipate that the patient would need to be assessed for
a. renal failure.
b. vitamin B12 deficiency.
c. obesity complications.
d. continuing his routine diet.
B
It is recommended that all patients with a gastrectomy have a blood serum vitamin B12 level measured every 1 to 2 years. Decreased absorption of vitamin B12 may cause pernicious anemia.
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The family of an older male patient asks why the patient needs to be hospitalized for pneumonia when the youngest daughter had the same infection a few months ago and was treated at home. How should the nurse respond to the family?
1. "The patient has chronic illnesses that put him at risk." 2. "I don't think you can compare your grandfather to yourself." 3. "There are some differences between men and women and illness." 4. "Aging decreases the body's ability to restore balance to body systems with an infection."
A patient is scheduled for photodynamic therapy to treat wet age-related macular degeneration. Which instruction should the nurse provide?
1. Wear comfortable shoes for this procedure. 2. Wear a shirt with short sleeves for easy IV placement access. 3. Bring gloves to wear home. 4. Plan to wear regular glasses home after the procedure.
The nurse supervisor determined that the nurse managers were not communicating effectively with each other. Which of the following actions would be included in the final refreezing stage of the change process?
1. The nurse supervisor continues to monitor the nurse managers' communication techniques and how well they continue to implement the changes that have been made. 2. The nurse managers and the nurse supervisor meet to discuss how their poor communication techniques might be affecting the organization and other staff members. 3. The nurse supervisor identifies several nurse managers who are acting defensively towards the nurse supervisor. 4. The nurse managers brainstorm about many ways the problem could be solved. Feasible solutions are identified.
Nurses, as well as individuals outside the profession, have sometimes expressed concern around the involvement of state nurses associations in collective bargaining. What factor most often underlies such concerns?
A) State nurses associations lack the legal authority to engage in bargaining though this has been their traditional role. B) State nurses associations tend to be unaware of many of the issues that nurses face when providing care. C) It can be difficult to reconcile the professional obligations of nurses associations with their role in bargaining. D) Few practicing nurses participate in the activities of state nurses associations.