A nurse wants to use the most important competency in community nursing. Which competency should the nurse use?
a. Caregiver
b. Case manager
c. Educator
d. Epidemiologist
A
The most important role is caregiving. Using the nursing process and critical thinking skills, a nurse develops appropriate, individualized nursing care for specific patients and their families. Case management means making an appropriate plan of care based on assessment of patients and families and coordinating needed resources and services for the patient's well-being across a continuum of care. Community-based nurses teach their patients individually or in groups. Community health nurses use basic principles of epidemiology, such as tracking health problems; collecting and analyzing data to identify disease trends, outbreaks of illnesses, and disease incidence rates; and planning strategies to prevent or contain outbreaks.
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A variety of factors influence the level of anxiety experienced by the patient faced by a stressful situation. Which would the nurse outline? (Select all that apply.)
a. How others perceive the event b. The number of stressors present at one time c. Degree of change the stressors require d. Present role assumption e. Previous experience with a similar situation
The nurse is providing patient teaching to a patient newly diagnosed with sleep apnea. The patient asks the nurse how it works to correct his sleep apnea. Which is the most appropriate statement by the nurse?
1. "The machine is set up to breathe for you when you stop breathing during the night." 2. "The machine's positive airway pressure provides a reminder to breathe during periods of apnea. " 3. "The machine's positive airway pressure keeps the upper airway structures from collapsing during sleep." 4. "The machine is set to give you oxygen during the times when you stop breathing and keep you from snoring."
A patient with CKD is restless, anxious, and short of breath. The nurse hears crackles that begin at the base of the lungs. The pulse rate is increased and the patient has frothy, blood-tinged sputum. What does the nurses do first?
a. Facilitate transfer to the ICU for aggressive treatment. b. Place the patient in a high-Fowler's position c. Continue to monitor vital signs and assess breath sounds. d. Administer a loop diuretic such as furosemide (Lasix).
The nurse notes the presence of this lesion on the patient's anterior chest. How should the nurse document this finding in the medical record?
1. purpura 2. ecchymosis 3. venous star 4. spider angioma