Which nurse leader has been instrumental in the development of MAGNET designated hospitals?
A. Claire Fagin
B. Beverly Malone
C. Tim Porter-O'Grady
D. Linda Aiken
ANS: D
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Which indicates why the use of power is important to nursing?
1. The nurse manager can use it to evaluate staff. 2. The nurse can better impact and improve client care. 3. The RN can better supervise unlicensed personnel. 4. Power enables the nurse to ethically treat the agitated patient.
The patient is about to have a magnetic resonance imaging (MRI) to diagnose a soft tissue abnormality of the lower leg. About which finding should the nurse immediately notify the physician?
1. The patient has a concern about what will be found on the MRI. 2. The patient has a pacemaker. 3. The patient has a history of hypertension. 4. The patient did not eat breakfast due to earlier nausea.
What disorder of the anus is this patient likely to have?
A 42-year-old house painter comes to your clinic, complaining of pain with defecation and profuse bleeding in the toilet after a bowel movement. He was in his usual state of health until 2 weeks ago, when he was injured in a car accident. After the accident he began taking prescription narcotics for the pain in his shoulder. Since then he has had very few bowel movements. His stool is hard and pebble-like. He states he has always been “regular” in the past, with easy bowel movements. His diet has not changed but he states that he is exercising less since the accident. His past medical history includes hypertension and he is on a low-dose diuretic. He has had no other chronic illnesses or surgeries. He has a family history of hypertension, coronary heart disease, and diabetes but no cancer. He is divorced and has three children. He smokes two packs of cigarettes per day and quit drinking more than 10 years ago. He has had no recent weight loss, weight gain, fever, or night sweats. On examination he appears muscular and healthy; he is afebrile. His blood pressure is 135/90 with a pulse of 80. His cardiac, lung, and abdominal examinations are normal. He is wearing a sling on his left arm. On observation of his anus you find a swollen bluish ovoid mass that appears to contain a blood clot. Digital rectal examination is extremely painful for the patient. No other mass is palpated within the anus or rectum. A) Anal fissure B) External hemorrhoid C) Anorectal cancer D) Internal hemorrhoid
A client goes to a free-standing clinic to be seen by a doctor for a mild stomach ailment. The client has utilized which of the following types of health care services?
1. Preventive care 2. Primary care 3. Secondary care 4. Tertiary care