The nurse is caring for a client who has delivered her first child. The client states, "My mother said that I have to have a bowel movement before I can go home, but my girlfriend said that isn't true anymore
What caused this change?" Which response by the nurse is best? 1. "Doctors just want clients to go home sooner these days."
2. "It really doesn't matter. Don't worry about it."
3. "Research indicates it is normal for bowel function to slow for a few days."
4. "We used to give all clients laxatives, but now they cost too much."
3
Rationale:
1. Cost containment and managed care are the driving forces behind some changes in care compared to a generation ago, not physician preference.
2. Always address a client's questions; avoid saying "don't worry about it" to keep communication therapeutic.
3. Evidence-based practice is the use of research findings to guide nursing actions, policies, and procedures. Often research findings contradict care that used to be the norm, leading to changes in policies and procedures.
4. Although laxatives are low-cost medications, there is no evidence indicating that all patients should receive them after childbirth. The evidence indicates that bowel function slows slightly after birth, and normally resumes in a few days.
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Actions designed to ensure the coordination and continuity of health care as patients transfer between different locations or different levels of care within the same location are known as:
a. transition of care. b. continuum of care. c. rounds. d. disease management strategies.
To assess for osteoarthritis in an older adult patient, the nurse asks which of the following questions? (Select all that apply.)
a. "Do you have pain in your finger joints?" b. "Do your knees crackle when you bend down?" c. "Does you get dizzy when you turn your head?" d. "Does it hurt when you get up from a chair?" e. "Does your back creak when you bend over?"
A client engages in frequent temper tantrums that usually result in her parents giving in to her demands. The client's parents decide to try their nurse practitioner's suggestion of time out. What teaching should the nurse practitioner provide?
A) Punish your daughter by using social isolation. B) Extinguish negatively reinforced consequences. C) Add positive reinforcement for behaviors. D) Temporarily remove your daughter from a potentially reinforcing environment.
Beginning procedure actions are completed
A. only upon instruction from the nurse. B. only when listed on the assignment. C. upon completion of each procedure. D. routinely when initiating each procedure.