For which patient is it most important to provide frequent perineal care? The patient:
a. With active lower gastrointestinal bleeding
b. Who has had an episode of diabetic ketoacidosis
c. Who has a circumcised penis
d. With a history of acute asthma
ANS: A
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A client in a long-term care facility has fallen. Assessment findings characteristic of a hip fracture include:
1. The injured leg is shortened and externally rotated. 2. Pain is relieved by moving the affected extremity. 3. Redness, tenderness, and severe swelling are found at the hip joint. 4. The client is repeatedly bending the injured leg at the knee and internally rotating the leg.
A client who has just completed an endovascular repair of the aorta is now complaining of numbness and tingling in his toes
The nurse inspects the client's legs and discovers weak pulses bilaterally, cool lower extremities, and capillary refill greater than 3 seconds. The nurse should immediately: 1. Contact the health care provider because the client has likely developed a thrombus, blocking the artery. 2. Contact the client's family to come to the hospital. 3. Instruct the client to take deep breaths to increase oxygenation. 4. Contact the ECG technician to get an ECG because the client is likely having a heart attack.
The nurse is learning how to identify populations that are at risk for experiencing racism. Which of the following stress factors would be related to racism?
A) Being harassed by police B) Experiencing poverty C) Being unemployed D) Having a parent with mental illness
A nurse knew that the home health agency had been accredited by the Community Health Accreditation Program (CHAP). What will be the agency's status in relation to required Medicare visits and self-study?
a. The agency will have difficulties because Medicare reimburses only agencies accredited by the Joint Commission. b. The agency will have deemed status as accreditation standards are more rigorous than Medicare criteria. c. The agency will need to demonstrate evidence of achieving positive outcomes in order to receive Medicare reimbursement. d. The agency will need to engage in another self-evaluation and submit to Medicare peer review site visits.