What is the process used to appraise the practice of an individual nurse known as?
a. Quality assurance
b. Incident reporting
c. OBRA
d. Peer review
ANS: D
Peer review is an in-house department study that may appraise the nursing practice of individual nurses.
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The client with psoriasis asks the nurse if the plaque buildups can be scraped off to remove them. The nurse explains:
1. Plaque cannot be removed surgically. 2. Surgical removal is considered plastic surgery, and is very costly. 3. The client would require screening to see if he is a candidate for the procedure. 4. Only very young children respond to that form of treatment.
A nurse has delegated the administration of a tap water enema to a nursing assistive personnel (NAP). The assistive personnel demonstrates understanding of the procedure when she states which of the following? (Select all that apply.)
a. "I will lower the enema when the patient complains of cramping." b. "I will speed up the enema administration when the patient complains of cramping." c. "I will withdraw the tube when the patient complains of cramping." d. "I will clamp the tubing when the patient complains of cramping." e. "I will fill the bag with hot water because it will cool while I am administering the enema." f. "I will have the patient sit on the toilet while I am administering the enema."
The nurse is preparing to conduct a physical examination of an 18-year-old patient. To support this patient's developmental level, how should the nurse approach this assessment?
A) With reassurance B) Use a positive attitude C) With nonjudgmental acceptance D) As an adult
A patient calls the clinic to ask about taking a glucosamine-chondroitin supplement for arthritis. The nurse reviews the medication history and notes that there will be a concern for drug interactions if the patient is also taking medications for which disorder?
a. Type 2 diabetes mellitus b. Hypothyroidism c. Hypertension d. Angina