Which characteristics of the primary nursing model make it a good match with the goals of the IOM and National Quality Forum? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. There are fewer RNs, so care is less expensive.
2. Primary nursing creates new possibilities for collaborative success.
3. Primary nursing supports efforts to make patient care safer.
4. The model allows the nurse to coordinate care across many disciplines.
5. Primary nursing reduces the need for communication and documentation.


2,3,4
Rationale 1: Primary nursing uses a richer mix of RNs, which has been found to support patient safety.
Rationale 2: The primary nursing model emphasizes relationship-based care, which supports collaboration.
Rationale 3: The coordination of care possible in primary care leads to greater patient safety.
Rationale 4: Primary care nursing allows one person, the nurse, to have the "big picture" of the patient's care. This helps the nurse coordinate and manage the multidisciplinary team of health care workers.
Rationale 5: Communication, both verbal and written, continues to be an essential part of the primary nursing model.

Nursing

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To prepare for an otoscopic examination of the ear, the nurse should do which of the follow-ing?

A. Remove any hearing devices from the client's ears. B. Avoid placing fingers or hands near the client's ears. C. Place the client is a standing position. D. Ensure adequate room lighting.

Nursing

The client has been ordered treatment with Cefaclor as well as erythromycin. The nurse anticipates what effect from the interaction of the medications?

a. Increased action of the Cefaclor b. Decreased action of the Cefaclor c. Anaphylactic reaction to the Cefaclor d. Toxic action of the Cefaclor

Nursing

The nurse is caring for a patient in the preoperative holding area of an ambulatory surgery center. Which nursing action will be most appropriate for this area?

a. Count the sterile surgical instruments. b. Empty the urinary drainage bag. c. Check the surgical dressing. d. Apply a warm blanket.

Nursing