A nurse has applied to work at a hospital that has National Stroke Center designation. The nurse realizes the hospital adheres to eight Core Measures for ischemic stroke care. What do these Core Measures include? (Select all that apply.)
a. Discharging the client on a statin medication
b. Providing the client with comprehensive therapies
c. Meeting goals for nutrition within 1 week
d. Providing and charting stroke education
e. Preventing venous thromboembolism
ANS: A, D, E
Core Measures established by The Joint Commission include discharging stroke clients on statins, providing and recording stroke education, and taking measures to prevent venous thromboembolism. The client must be assessed for therapies but may go elsewhere for them. Nutrition goals are not part of the Core Measures.
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a. Compress the cervical vertebrae. b. Immobilize the head. c. Allow the patient to be moved out of bed. d. Align the cervical vertebrae.
A male patient in his 20s has been diagnosed with a chlamydial infection and states that he is "terrified" at the prospect of having to inform his fiancée. In light of this patient's statement, what action should the nurse first perform?
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A nurse is caring for a patient with severe hemolytic jaundice. Laboratory tests show free bilirubin to be 24 mg/dL. What is this patient at risk for?
A) Chronic jaundice B) Pigment stones in portal circulation C) Brainstem damage D) Hepatomegaly
When caring for elderly residents, you should
A) always provide total care if the resident is mentally confused. B) give priority to caring for residents who are alert and demanding. C) respect the residents and reinforce their self-esteem. D) use reality orientation with all residents.