The home health nurse explains that although she performs all the actions below, the only one that is reimbursable under Medicare payment rules is to:

1. observe a wife clean and change the dressing.
2. take a frail couple for a walk to provide exercise.
3. watch a patient measure out all medication.
4. teach a patient to give herself insulin.


4
Medicare reimburses skilled techniques that are clearly spelled out; these include teaching but not return demonstration-type actions by patient or family.

Nursing

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A nurse preceptor asks a new graduate to identify the risk factors for necrotizing enterocolitis. Which response by the student would indicate that further clarification is needed? (Select all that apply.)

a. Asphyxia b. Prematurity c. Polycythemia d. Hyperosmolar feedings e. Hypoviscosity f. Rapid increase in volume of feedings

Nursing

The patient has decreased visual acuity in the left eye. The nurse records this as a problem with the:

A) OU. B) OS. C) OD. D) OX.

Nursing

The nurse has to complete a cardiac assessment on a client. Which level of human proxemics would be appropriate for the nurse in completing this assessment on the client?

A) Intimate B) Personal C) Social D) Public

Nursing

What is the primary mechanism of action of Class 4 antiarrhythmic drugs?

A. They block adrenergic beta-1 receptors. B. They block sodium channels. C. They block potassium channels. D. They block calcium channels in the sinoatrial (SA) and atrioventricular (AV) nodes.

Nursing