A client needs a high-risk surgical procedure. According to the Leapfrog Group, the client should choose which hospital for care during this procedure?
1. The hospital closest to the client's home
2. The hospital that has done the greatest number of these surgeries in the last two years
3. The hospital chosen by the client's primary care physician
4. The hospital with the highest performance ratings for this procedure
4
Rationale 1: This may or may not be the best choice of hospital for this procedure.
Rationale 2: Just because a hospital is high volume does not mean it is high quality.
Rationale 3: This may or may not be the best hospital for this procedure.
Rationale 4: The Leapfrog Group focuses on quality indicators including the use of higher-performing hospitals for high-risk procedures.
Global Rationale:
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The nurse is planning care for a patient with fluid-volume overload and hyponatremia. Which of the following should be included in this patient's plan of care?
1. Restrict fluids. 2. Administer intravenous fluids. 3. Provide Kayexalate. 4. Administer intravenous normal saline with furosemide.
A nurse is preparing a presentation to a group of staff members comparing paper and electronic documentation. Which of the following would the nurse include as a weakness of paper records? Select all that apply
A) Legibility B) Lack of a backup system C) Difficult to transport D) Slowness in charting E) Easily damaged
Pressure injuries may develop where body parts rub together. Skin breakdown is a risk for obese patients, especially
A. Between folds of the abdomen. B. Between buttocks and thighs. C. Under the breasts. D. In All of these areas.
The nursing diagnosis is Risk for impaired skin integrity related to immobility and pressure secondary to pain and presence of a cast. Which of the following desired outcomes should the nurse include in the care plan?
A. Client will be able to turn self by day 3 B. Skin will remain intact and without redness during hospital stay C. Client will state pain relieved within 30 minutes after medication D. Pressure will be prevented by repositioning client every 2 hours