A large portion of the nurse's efforts are dedicated to health supervision for patients who use the facility as their primary medical contact. At which facility does the nurse work?
A) An urgent care center
B) A pediatric practice
C) A mobile outreach immunization program
D) A dermatology practice
B
Response:
A pediatric practice is most likely to fulfill the characteristics for primary care, also known as a medical home. An urgent care center does not provide preventive care activities. Mobile outreach would not provide for any care requiring hospitalization. A dermatologist is unlikely to provide service outside its area of specialization.
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A nurse is caring for a client who has lung cancer and is dying. Which prescription should the nurse question?
a. Morphine 10 mg sublingual every 6 hours PRN for pain level greater than 5 b. Albuterol (Proventil) metered dose inhaler every 4 hours PRN for wheezes c. Atropine solution 1% sublingual every 4 hours PRN for excessive oral secretions d. Sodium biphosphate (Fleet) enema once a day PRN for impacted stool
The wife of a patient you are caring for asks to speak with you. She tells you that she is concerned because her husband is requiring more and more pain medication
She states, "He was in pain long before he got cancer because he broke his back about 20 years ago. His pain medicine wasn't just raised and raised for that pain." What would be the nurses' best response? A) "I didn't know that. I will speak to the doctor about your husband's pain control." B) "Cancer pain can be either acute or chronic. Most cancer pain is caused by tumor involvement and needs to be treated in a way that brings the patient relief." C) "Cancer is an acute kind of pain so the more it hurts the patient, the more medicine we give the patient until it doesn't hurt anymore." D) "Does the increasing medication dosage concern you?"
The nurse is performing a cultural assessment on a client. Which of the following questions would a nurse use to obtain data about social life?
A) How do you spend your free time? B) Who lives in your home? C) What support systems do you have outside the home? D) Do you have any rituals or habits that we need to be aware of?
What type of patient record data would the nurse find in the medical history and progress notes?
A) findings of the physician's assessment and treatment B) results of laboratory and diagnostic studies C) nursing documentation and plan of care D) information from other members of the healthcare team