A licensed vocational nurse provides care on an inpatient hospital unit that has a census of 27 beds
The LVN works together with a registered nurse and a nurse's aide to provide care for nine of the patients on the unit, and two similar groups of care providers are responsible for the remaining 18 patients on the unit. What model of nursing care is utilized on this unit?
A) Team nursing
B) Primary nursing
C) Total patient care
D) Case method
A
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A nurse has just been told by a friend that her physician has recommended a hysterectomy for fibroids in her womb. Which of the following would be the most appropriate response by the nurse?
a. "Hysterectomies are the most common surgical procedure done on women; you'll be fine." b. "Tell your doctor to remove your ovaries as well so you will never have to worry about ovarian cancer." c. "There are other alternatives. Why don't you seek a second opinion just to be sure a hysterectomy is best for you?" d. "Uterine fibroids are very common so don't feel badly; you've already had your children, so there's no reason to keep your uterus."
The client receives medication from a small-volume nebulizer. Which client assessment is the nurse's priority during medication administration?
1. Nonperfusing ventricular arrhythmia 2. Wheezes throughout both lung fields 3. Frequent cough with many secretions 4. Inability to self-administer medication
Mrs. F is a 79-year-old woman widow who lives alone. She has multiple medical problems including hypertension, cardiac disease, and diabetes
She sees her primary care provider (PCP) every three months, and also has regular visits with a cardiologist and an endocrinologist. She does not carry a medication card in her wallet, and often describes a new pill by color and shape. The nurse is concerned about drug-drug interactions because: 1. She is a candidate for polypharmacy. 2. The client is elderly and lives alone. 3. Of possible drug-food interactions with a diabetic diet. 4. She has multiple co-morbidities.
The nurse notes the following findings in a client at 12-weeks' gestation. Which of the findings would enable the nurse to tell the client that she is diagnostically pregnant?
1. Fetal heart rate by Doppler 2. Positive pregnancy test 3. Positive Chadwicks sign 4. Montgomery gland enlargement