If a PHN had the capabilities required in the domains of the PHN Core Competencies, he or she would be able to do which of the following? Select all that apply
A. Develop policy for handling a local quarantine.
B. Understand the dietary restrictions of new immigrants.
C. Create a financial plan for a clinic and manage the budget.
D. Function as a medical doctor at a clinic if there is none.
E. Work with corporations to create an emergency response program to bioterrorism.
ANS: A, B, C, E
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In a patient with acute ischemic tubular necrosis, urine output has increased from below normal to very high. What is the nursing priority of care during this phase of renal failure?
A) Restrict fluid intake B) Monitor serum potassium C) De-emphasize dialysis D) Monitor serum creatinine
An unlicensed assistive person (UAP) is working on a rehabilitation unit. Which of the following tasks would be appropriate for this person to delegate?
A) Taking and recording vital signs B) Assisting with bathing C) An unlicensed assistive person may not delegate tasks. D) Making a bed
A nurse applies a cardiac monitor to a patient and receives false low-rate alarm sounds. What is the appropriate intervention?
A) Assess for gain dial set too low, poor contact between skin and electrodes, dried gel, broken or loose lead wires, poor connection between patient and monitor, or a malfunctioning monitor. B) Assess for poor position or contact between the electrodes and skin, or thoracic movement with respirations; reposition or replace the electrodes. C) Assess for a shift in the electrical axis due to patient movement, making QRS complexes too small to register; low amplitude of QRS; or poor contact between skin and electrode. Reapply the electrodes and set gain so that the height of the complex is greater than 1 mV. D) Reposition the electrodes to a lead where the QRS complexes are taller than the T-waves, and place electrodes away from major muscle masses; change the lead view on the monitor and use the "relearn" feature, if available, to identify the location of the normal complexes.
Which enteral formula should the nurse anticipate for a client with a functioning GI tract experiencing undernourishment?
A. Modular B. Polymeric C. Semi-elemental D. Elemental