As the RN team leader, identify all potential disadvantages of using team nursing to deliver care to the assigned clients. Select all that apply
1. Delegation/accountability
2. Client/staff communication
3. Cost savings/staffing
4. Continuity of care
1, 2, 4
Explanation: 1. The RN must be careful to delegate only tasks that are appropriate for the skill level and
licensure of the personnel doing the task. The RN is ultimately responsible for all of the client
care. Team nursing requires excellent communication skills for all team members in order to
communicate with clients, families, and each other. Continuity of care may suffer when care is
given by more than one person. Team nursing does save on costs for personnel and saves on
professional staff.
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A patient with a diagnosis of chronic renal failure will soon begin a regimen of epoetin that will administered by the patient at home. Which of the following statements indicates that the nurse's initial health education has been successful?
A) "I'll make sure to take my Epogen pill on a strict schedule and make sure I never miss a dose." B) "I'm glad that Epogen can help to protect me from getting an infection." C) "I'm excited that there's a medication that can help my kidneys work better." D) "I'm not all that comfortable with giving myself an injection, but I'm sure I'll be able to learn."
A patient presents with aphasia, decreased level of consciousness, and right-sided weakness. The patient has a history of heart disease, hyperlipidemia, and transient ischemic attacks
Based on the history, the nurse suspects that the patient has sustained which type of stroke? a. Hemorrhagic stroke c. Subarachnoid hemorrhages b. Intracerebral hemorrhages d. Ischemic stroke
The nurse is providing care to a client who admits to smoking 2 packs of per day for 34 years. The client also has a history of intermittent claudication, chronic bronchitis, and emphysema
After 6 weeks of smoking cessation the client reports, "yelling at my spouse" and "flying off the handle." Which effects of cigarette smoking are associated with the data collected from the client? Select all that apply. A) Nicotine causes destruction of the alveoli. B) The release of epinephrine causes vasoconstriction. C) Dopaminergic processes are implicated in withdrawal symptoms. D) Tar causes the mucus production seen in chronic bronchitis. E) Tobacco use causes atherosclerosis.
The client asks the nurse to irrigate both ear canals to improve hearing and comfort. The client has bilateral brown ear drainage and a history of a right mastoidectomy and perforation of the left tympanic membrane
Which should the nurse implement first? 1. Instruct the client that the ears are infected. 2. Perform otoscopic examination of the canals. 3. Collaborate with provider about the drainage. 4. Irrigate ear canals with warmed saline solution.