As a patient is admitted to an ICU the nurse documents the skin intact. The patient is in the unit for nearly a month, and a chart audit discovers that no wound care was charted and the wound care nurse consult was not done until the patient was transferred to a med surge unit. At this time, the patients skin is documented as having a stage II pressure ulcer on her coccyx. What does this lack of documentation indicate.
A. appropriate admission assessment
B. wound care was not done daily
c. medicare reimbursment will be possible
d. the nursing role of care planning is not apparent
Answer: d. the nursing role of care planning is not apparent
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In instructing a patient about corticosteroid therapy, the patient asks if he can just stop this medication before returning to the physician's office. Which would be the nurse's best response?
a. "Take this medication until you've completed it." b. "The medication must be slowly reduced." c. "Go ahead; there is no real precaution with this drug therapy." d. "The amount you're taking is small, so stopping is all right at any time."
An indicator for successful implementation of a project is:
a. people owning the change. c. time limits on change. b. change perceived as neutral. d. learning curve status.
The nurse at a shelter is counseling a group of battered women. What will the nurse will emphasize?
1. Battering will not stop or decrease if the woman becomes pregnant. 2. About 1 of every 5 women will experience abuse in her lifetime. 3. When these women go back to the situation after the abuser has cooled down, it will be better. 4. The battered woman can readily leave the situation.
A nurse is completing an admission assessment of a young adult woman who has a history of depression and who was brought to the hospital by her boyfriend
In response to the nurse's question regarding suicidal ideation, the patient discloses that the she is thinking about killing herself. Which question would be most appropriate for the nurse to ask next? A) "What does your boyfriend think about your desire to kill yourself?" B) "What are your spiritual beliefs about suicide?" C) "What will killing yourself accomplish?" D) "What thoughts have you had about how you would kill yourself?"