The federal government requires the use of a specific standardized documentation tool for home nursing care. Which information must a home nurse add to the approved documentation tool?
a. Activity c. Functional
b. Vital signs d. Demographic
B
The nurse must add the vital signs and information about the older adult's health care beliefs to the OASIS. The nurse does not need to add information about the older adult's activity level. The nurse does not need to add information about the older adult's functional status. The nurse does not need to add demographic information about the older adult to the documentation tool.
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The patient has been on a mechanical ventilator for 2 weeks. Weaning from mechanical ventilation is to start today
Based on the length of time that the patient has been ventilated, what information should the nurse emphasize to the patient and the family? A) Extubation is expected later today, as the patient is relatively young. B) Delays and setbacks are expected before independence is achieved. C) The best method is continuous positive airway pressure (CPAP). D) Elevation of the head of the bed will provide for the most patient comfort.
Barriers to the use of evidence-based practice (EBP) include: (Select all that apply.)
a. nurses critiquing research. b. difficulty communicating how to conduct EBP. c. the copious amount of literature available. d. the short time between research and practice. e. the reluctance of organizations to fund research.
A patient, age 69, is being evaluated by a neurologist for signs of muscle rigidity, masklike face (area from forehead to chin), and propulsive gait. These signs are often characteristic of
a. multiple sclerosis. b. Parkinsonism. c. Alzheimer's disease. d. epilepsy.
What data would the nurse expect to find when performing an assessment of a 90-year-old suspected of having an upper respiratory infection?
a. Temperature elevation over 101° F b. Elevated white blood count c. History of recent periods of confusion d. Record of increased fluid intake