What would the nurse identify as the most basic purpose of standards of care?
1. To protect and safeguard the public as a whole
2. To ensure that all patients receive state-of-the-art care
3. To protect health care providers and prevent their giving less than quality care
4. To ensure administrative agencies are protected from frivolous lawsuits
1
Rationale: The standards are meant to protect the public from receiving varying degrees of quality of care.
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A client, admitted with irregular chest pain and shortness of breath, complains of fatigue with activity. The client's body mass index (BMI) is 30.5. Which is the priority nursing diagnosis for this client?
A) Ineffective Coping B) Fear C) Imbalanced Nutrition: More than Body Requirements. D) Fluid Volume Deficit
A 25-year-old pregnant woman comes to the clinic complaining of unilateral hearing loss. The woman says her mother lost her hearing when she was pregnant. What would you suspect the patient has?
A) Otosclerosis B) Ossiculitis C) Mastoid disease D) Chronic otitis media
The 19-year-old pregnant woman begins a job to "save money for the baby." The nurse understands this statement to demonstrate what?
1. Striving for gaining autonomy and independence 2. Completed development of a sense of identity 3. Needing attainment of a sense of achievement 4. Having developed an intimate relationship
The perinatal nurse is assessing a woman in triage who is 34 + 3 weeks gestation in her first pregnancy. She is worried about having her baby "too soon" and she is experiencing uterine contractions every 10–15 minutes
The fetal heart rate is 136 beats per minute. A vaginal examination performed by the health care provider reveals that that the cervix is closed, long, and posterior. The most likely diagnosis would be: A) Preterm labor B) Term labor C) Back labor D) Braxton-Hicks contractions