Using the Resident Assessment Instrument (RAI), the nurse identifies a trigger for a male nursing home resident who requires an indwelling urinary catheter from the Minimum Data Set (MDS). Which should the nurse do next?
a. Develop an individualized care plan.
b. Assign suitable nursing interventions.
c. Use the Resident Assessment Protocols.
d. Institute agency approved catheter care.
C
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A Incorrect. The nurse develops the care plan after completing the RAPs.
B Incorrect. The nurse assigns suitable nursing interventions to the plan of care.
C Correct. The nurse uses the Resident Assessment Protocols (RAP) to assess triggers identified from the MDS. To help the resident achieve optimal func-tional status by determining his strengths, needs, and preferences, RAPs provide an organized framework used by the health care team for additional assessment of the trigger.
D Incorrect. The nurse uses agency-approved policies to provide care as assigned in the plan of care.
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The staff nurses and nursing administration are attempting to construct a method of scheduling meeting the needs of both the clients and the nursing personnel
Because nurses and nursing administration have experienced conflict about the issue, their intent is to arrive at an agreeable solution between both parties. This process best exemplifies: 1. Negotiation. 2. Accommodation. 3. Forcing. 4. Consensus.
The nurse is educating the parents of a 7-year-old boy with asthma about the medications that have been prescribed. Which of the following drugs would the nurse identify as an adjunct to a 2-adrenergic agonist for treatment of bronchospasm?
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The primary health care provider has prescribed quinine for a client. The patient is also taking warfarin. Which of the following would be most important for the nurse to keep in mind about this combination when providing care to the patient?
A) Quinine absorption is increased. B) Metabolism of quinine is increased. C) The patient is at increased risk for bleeding. D) The patient's risk for a heart attack is increased.