The nurse locates an article to support a change in patient care; however, there is a fee to obtain the entire manuscript. What should the nurse consider before purchasing this article?
A) If the content is appropriate to address the issue
B) If there are other articles not appearing in the search
C) If the organization will reimburse for the cost of the article
D) If purchasing the entire magazine might be a better use of resources
B) If there are other articles not appearing in the search
Explanation: A) The only way to determine if the content is appropriate to address the issue is to read the entire article.
B) Some sites provide pay-per-article access to literature; however, these sites may not have the full spectrum of literature found in a scholarly database.
C) Reimbursement for the article should be discussed before the nurse performs the search.
D) Purchasing an entire publication for one article is not cost effective if the article does not fit
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A nurse assesses an older adult's skin. Which findings require immediate referral? (Select all that apply.)
a. Excessive moisture under axilla b. Increased hair thinning c. Increased presence of fungal toenails d. Lesion with various colors e. Spider veins on legs f. Asymmetric 6-mm dark lesion on forehead
A critically ill patient has developed acute renal failure and needs dialysis. Under what circumstance would the nurse question the use of continuous renal replacement therapy (CRRT)?
A) Patient requires large amounts of hourly intravenous fluids B) Metabolic imbalances can be corrected with 3 hours of dialysis per day C) High risk of hemodynamic instability with dialysis D) Unlikely to tolerate rapid fluid shifts without destabilizing
The nurse prioritizes the care of four patients. Which patient has a systemic infection?
a. 14-year-old with acute appendicitis b. 80-year-old with a urinary tract infection c. 40-year-old with AIDS d. 50-year-old with arthritis
The nurse is developing a teaching plan for a patient who has undergone bariatric surgery. Which information listed below is essential to include?
A) Drink a minimum of 90 cc of fluid with each meal. B) Eat 6 small meals daily spaced at equal intervals. C) Choose foods high in carbohydrates especially simple sugars. D) Limit calories to no more than 1800 daily.