When a charge nurse evaluates the need for additional staff nurses and additional monitoring equipment to meet the client's needs, the charge nurse is performing an evaluation termed
A) process evaluation
B) structure evaluation
C) outcome evaluation
D) summary evaluation
Ans: B
Structure evaluation focuses on the attributes of the setting or surroundings where health care is provided.
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The patient is a gravida 6, para 1 . She is admitted after a cesarean section after an amniotic embolus. Her heart rate (HR) is more than 150 beats/min with a systolic BP less than 80 mm Hg
Her temperature is 38°C, and her condition has caused her to develop prerenal azotemia. The patient was fluid resuscitated through a double-lumen catheter, which was placed into her right femoral access, and started on vasopressors with a fair response (BP, 80/50 mm Hg; HR, 122 beats/min). Because of her diagnosis and a concern regarding fulminating sepsis, the patient was begun on CVVH. Which of the statements best describes CVVH? a. Complete renal replacement therapy requiring large volumes of ultrafiltrate and filter replacement b. Complete renal replacement therapy that allows removal of solutes and modification of the volume and composition of extracellular fluid to occur evenly over time c. Involves the introduction of sterile dialyzing fluid through an implanted catheter into the abdominal cavity, which relies on osmosis, diffusion, and active transport to help remove waste from the body d. Complete renal replacement therapy that allows an exchange of fluid, solutes, and solvents across a semipermeable membrane at 100 to 300 mL/hr
Body mass index is:
1. Height in inches divided by weight in pounds 2. Height in centimeters divided by weight in kilograms 3. Weight in kilograms divided by height in meters squared 4. Weight in pounds divided by height in square meters
Awareness during surgery occurs when the patient is paralysed with muscle relaxants but has been given insufficient doses of anaesthetic agents to maintain the unconscious state
Indicate whether this statement is true or false.
A nurse is assessing a postoperative client on an hourly basis. The nurse notes that the client's urine output for the past hour was 25 mL. On the basis of this finding, the nurse should take which action first?
A. Call the health care provider B. Increase the rate of the IV infusion C. Check the client's overall intake and output record D. Administer a 250-mL bolus of normal saline solution (0.9%