A nurse manager working in a long-term care facility would explain to a group of workers that the worst consequence of not passing an accreditation visit by The Joint Commission (TJC) would be:
1. a reduced number of positions.
2. adverse public relations.
3. a decline in resident admission rates.
4. closure.
ANS: 4
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A client in the operating room has developed malignant hyperthermia. The client's potassium is 6.5 mEq/L. What action by the nurse takes priority?
a. Administer 10 units of regular insulin. b. Administer nifedipine (Procardia). c. Assess urine for myoglobin or blood. d. Monitor the client for dysrhythmias.
A patient's enteral feedings have been determined to be too concentrated based on the patient's development of dumping syndrome. What physiologic phenomenon caused this patient's complication of enteral feeding?
A) Increased gastric secretion of HCl and gastrin because of high osmolality of feeds B) Entry of large amounts of water into the small intestine because of osmotic pressure C) Mucosal irritation of the stomach and small intestine by the high concentration of the feed D) Acid–base imbalance resulting from the high volume of solutes in the feed
Long-term hormone replacement therapy (HRT) is being discussed with a patient who is scheduled for a total hysterectomy. The patient should be informed that she will be at an increased risk for which health problems as a result of HRT?
Select all that apply. 1. breast cancer 2. stroke 3. venous thrombosis 4. colon cancer 5. heart attack
A woman with an artificial mitral valve develops heart failure at the 20th week of pregnancy. Which of the following measures would you stress with her during the remainder of the pregnancy?
A) Obtaining enough rest B) Maintaining a high fluid intake C) Beginning a low-impact aerobics program D) Discontinuing her prepregnancy anticoagulant