A nurse is just starting a job at a new hospital. As part of the orientation process, the nurse must review the hospital's policies and procedures for nursing care
Standards of care, standardized care plans, protocols, policies, and procedures are developed and accepted by the nursing staff for which of the following reasons? (Select all that apply.)
1. Make sure all clients have the same types of care
2. Ensure that minimally accepted standards are met
3. Promote efficient use of the nurse's time
4. Eliminate care disparities among clients
Correct Answer: 2,3
Rationale: Ensuring that all clients receive the same type of care is not appropriate as care must be individualized to meet the client's needs. Standardized approaches to care planning are common in many health care agencies.
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A nurse is caring for a patient who has suffered a hip fracture and who will require an extended hospital stay
The nurse should ensure that the patient does which of the following in order to prevent common complications associated with a hip fracture? A) Avoid requesting analgesia unless pain becomes unbearable. B) Use supplementary oxygen when transferring or mobilizing. C) Increase fluid intake and perform prescribed foot exercises. D) Remain on bed rest for 14 days or until instructed by the orthopedic surgeon.
Which statement by a client with hypertension secondary to renal disease indicates the need for further teaching?
a. "I can prevent more damage to my kid-neys by managing my blood pressure." b. "If I have increased urination at night, I need to drink less fluid during the day." c. "I need to see the dietitian to discuss li-miting my protein intake." d. "It is important that I take my antihyper-tensive medications as directed."
The main reason for not including qualitative studies in reviews for evidence-based practice is:
a. that it is difficult to evaluate qualitative studies. b. that many topics do not have qualitative studies available. c. the lack of rigor in qualitative research. d. that there are not enough qualitative researchers.
An 86-year-old patient has just been diagnosed with benign prostatic hyperplasia (BPH). While discussing the condition with the nurse, the patient shakes his head and states, "I thought this disease was more common in middle-aged men
" Which response by the nurse is most appropriate? 1. "I understand how you feel." 2. "No one really knows why this happens in older men." 3. "This disease is most common in men between the ages of 40 and 55." 4. "This condition is seen in about 90% of men your age."