A possible goal for a client with a hearing impairment would be, "The client will participate in conversations and other social situations." Which nursing intervention is MOST appropriate to attain this goal?
a. consulting social services as needed
b. identifying hospital and community resources for people who are hearing impaired
c. speaking slowly and distinctly, giving the client time to respond
d. using written materials whenever possible to communicate information
C
Nursing intervention for a client with a hearing impairment would include facing the client, speaking slowly and distinctly, and giving the client time to respond.
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The staff nurse is assessing the need for further teaching for a preoperative surgical client. Based on the steps of critical thinking, what is the nurse's first priority?
a. Identifying the problem b. Developing a frame of reference c. Identifying implications and consequences d. Implementing inferences and conclusions
The purpose of Total Quality Management is to:
1. Ensure that the client is getting quality care at top value for money spent 2. Provide cost-efficient care across all age groups 3. Provide necessary care to clients in a cost-effective system 4. Provide efficient systems of primary care
M.D. has now completed three cycles of CAF, with her last treatment being approximately 12 days ago
She comes to the emergency department with a 2-day history of fever, chills, and shortness of breath. On arrival, she is disoriented and agitated. Vital signs are 86/43, 119, 28, 103.6 ° F (39.8 ° C), Spo2 85% on room air. The chest x-ray examination demonstrates diffuse infiltrates in the left lower lung. Her basic metabolic panel (BMP) is within normal limits, with the exception of blood urea nitrogen (BUN) 28 mg/dL, creatinine 1.6 mg/dL, and lactic acid 2.4 mg/dL. Interpret M.D.'s laboratory results and explain the rationale for abnormal results.
The family of a patient who is showing signs of impending death tells a nurse that they would like for any organs that can be used to be donated. What action should the nurse implement?
a. Wait until the patient has died before dis-cussing organ donation with the family. b. Tell the family that the patient has not signed a consent, so the organs cannot be donated. c. Check the patient's record to see whether the physician has written an order for the patient to have organs donated. d. Notify the physician of the family's wish-es.