The Institute of Medicine (IOM) report Crossing the Quality Chasm: A New Health System for the 21st Century used principles of complex adaptive systems to describe a vision of a healthcare system in which care would be (select all that apply)
A. Safe
B. Effective
C. Patient-centered
D. Timely
E. Exciting
F. Efficient
G. Equitable
H. Compassionate
ANS: A, B, C, D, F, G, H
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The nurse administers acetaminophen 325 mg and codeine 30 mg orally to a patient reporting a severe headache. When should the nurse reassess the patient's pain?
a. 15 minutes after administration b. 60 minutes after administration c. 90 minutes after administration d. Immediately before the next dose is due
For a client with bronchiectasis, which of the following interventions helps the client to mobilize and expectorate secretions?
A) Remove fluid, blood, or air from the thorax. B) Repair trauma to the chest or chest wall. C) Instruct client in postural drainage techniques. D) Remove foreign objects.
A vaginal examination on a laboring client reveals that the biparietal diameter of the fetal head is at +2 station. This indicates that the fetal head is
a. achieving attitude c. below the ischial spines b. reaching ballottement d. floating above "0" station
A client has a magnesium deficit in addition to congestive heart failure (CHF). The most appropriate nursing diagnosis is
a. Altered Comfort. b. High Risk for Injury. c. Impaired Skin Integrity. d. Risk for Decreased Cardiac Output.