Before the actual discharge occurs, what must the nurse ensure?

a. The patient is well enough to go home.
b. The patient has not been overly medicated.
c. The patient understands the discharge instructions.
d. The patient has adequate transportation.


ANS: C
It is essential that the patient be fully aware of the discharge instructions before being discharged.

Nursing

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Which of the following best describes how the government was successful at containing costs?

a. The original legislation for Medicare and Medicaid had built-in cost controls. b. Certificate-of-need requirements restricted provider overtreatment. c. Utilization review determined appropriateness of care. d. Prospective payments were based on diagnosis-related groups (DRGs). e. Peer standard review organizations were effective watchdogs.

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The family of a patient with Alzheimer disease asks the nurse, "When will my mother quit being so confused?" On what information regarding dementia should the nurse base a response?

a. It is a short-term confusional state that is typically reversible. b. It is a state of confusion caused primarily by medications. c. It is a state of confusion that usually be-gins abruptly and lasts a short period. d. It is a syndrome that is chronic and irre-versible.

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The nurse administers a beta blocker to a client after a myocardial infarction. What assessment finding does the nurse expect?

a. Blood pressure increase of 10% b. Increasing respiratory rate c. Increased cardiac output d. Pulse decrease from 100 to 80 beats/min

Nursing

A PHN has accepted a new position with the local PHD. While reviewing the records the PHN notices that the last community health assessment was completed 4 years ago. What should the PHN do?

A. Nothing; the last assessment was only 4 years ago. B. Perform a brief assessment to become familiar with the community. C. Perform a full community health assessment, as per protocol. D. Report the nurses' negligence for failing to keep up with assessments.

Nursing