A private ambulance clinic established a few streets away from Pacific Hospital markets its services as quality-based within caring relationships. The clinic is part of the __________ envi-ronment

a. Public
b. Macro
c. Competitive
d. Social


C
The competitive environment includes factors and elements that compete for resources with another organization. These elements may include those in public and macro environments.

Nursing

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The nurse is assisting with teaching family members about a patient's epidural bleed. Which understanding about an epidural bleed should guide the nurse's teaching?

a. It is usually arterial and may lead to death without rapid intervention. b. It is usually venous and absorbs in time. c. It is within the brain tissue, so residual effects are likely. d. It usually causes quadriplegia, and rehabilitation will be necessary.

Nursing

The nurse is explaining the use of antiembolism hose and instructing the client in leg exercises. Both of these interventions will prevent the postoperative complication of:

a. atelectasis. b. shock. c. thrombophlebitis. d. pain.

Nursing

The nurse is preparing a client diagnosed with amyotrophic lateral sclerosis (ALS) for discharge. The nurse realizes that interventions for the following nursing diagnosis should be stressed for this client:

1. Ineffective Breathing Pattern related to neuromuscular dysfunction. 2. Impaired Urinary Elimination related to spastic or flaccid bladder. 3. Alteration in Vision acuity related to ocular muscle involvement. 4. Disturbed Thought Processes related to cognitive decline.

Nursing

What should be included in the discharge instructions for a client diagnosed with cancer who is taking hydrocodone with acetaminophen (Vicodin) prn?

1. Use Tylenol for any pain unrelieved by the Vicodin. 2. Notify the physician if the medication relieves the pain. 3. Increase the intake of fluids and fiber in the diet to prevent constipation. 4. Take the medication only when the pain is greater than an 8 on a scale of 1–10.

Nursing