From what do most quality-of-care problems in home health care result? (Select all that apply.)
a. Patient's noncompliance
b. Family's reluctance to participate in the care
c. Inadequate documentation
d. Limited funding
e. Defective communication among care team members
C, E
Inadequate communication and incomplete documentation create most of the quality-of-care problems.
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After a client has an arterial puncture, the nurse should do which of the following?
a. Apply heat to the puncture site. b. Observe for rash and dyspnea. c. Apply pressure for at least 5 minutes. d. Encourage immediate range of motion.
The condition in which the placenta is implanted in the lower uterine segment near or over the internal cervical os is ____________________
Fill in the blank(s) with correct word
The nurse assesses brisk reflexes in a patient. The nurse would document this finding as which of the following?
A) 1+ B) 2+ C) 3+ D) 4+
C.W., a 36-year-old woman, was admitted several days ago with a diagnosis of recurrent inflammatory boweldisease (IBd) and possible small bowel obstruction (sBO)
C.W. is married, and her husband and 11-year-old son are supportive, but she has no extended family in the state. she has had IBd for 15 years and has been taking mesalamine (Asacol) for 15 years and prednisone 40mg/day for the past 5 years. she is very thin; at 5 feet 2 inches, she weighs 86 pounds and has lost 40 pounds over the past 10 years. she averages 5 to 10 loose stools per day. C.W.'s life has gradually become dominated by her disease, with anorexia, lactase deficiency, profound fatigue, frequent nausea and diarrhea, frequent hospitalizations for dehydration, and recurring, crippling abdominal pain that often strikes unexpectedly. The pain is incapacitating and relieved only by a small dose of diazepam (Valium), oral electrolyte solution (Pedialyte), and total bed rest. she confides in you that sexual activity is difficult: "It always causes diarrhea, nausea, and lots of pain. It's difficult for both of us." she is so weak she cannot stand without help. You indicate complete bed rest on the nursing care plan. Identify six priority problems for C.W.