What do standardized nursing care plans and individualized care plans have in common? They both:
1) Reflect critical thinking for a specific patient
2) Are preprinted to apply to needs common to a group of patients
3) Address a patient's individual needs
4) Provide detailed nursing interventions
ANS: 4
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The pediatric nurse prepares a newborn for phototherapy. The nurse explains to the parents that certain organs need to be protected during treatment. Which organs are these?
A. Eyes and ears B. Eyes and hands C. Eyes and genitals D. Genitals and hands
Following a fall, a patient is brought to the emergency department. There was a brief loss of consciousness. The patient complains of headache, has vomited twice, has a dilated pupil on the same side as a hematoma over the temporal area,
and is currently having a seizure. What should the nurse anticipate regarding the care of this patient? 1. This is an emergency situation that is likely due to an epidural hematoma and requires surgery. 2. This is a controlled situation once the seizure stops. 3. This is a serious situation in which a subdural hematoma is developing and requires surgery. 4. This is a typical situation seen with most patients who fall and will subside with observation.
The nurse examines the patient's placenta and finds that the umbilical cord is inserted at the placental margin. The patient comments that the placenta and cord look different than they did for her first two births
The nurse should explain that this variation in placenta and cord is called a: 1. Placenta accreta. 2. Circumvallate placenta. 3. Succenturiate placenta. 4. Battledore placenta.
Which of the following is a primary requirement for a client to be eligible for home health nursing and Medicare reimbursement of services?
a. Must be homebound b. Must be living in a medically underserved area c. Must be indigent d. Must be insured or eligible for Medicare or Medicaid