A quality assurance manager does an audit and six months later returns to see if the problem has been eliminated. This step
a. Involves selecting explicit criteria for quality care
b. Includes the review of records
c. Requires a peer review of all cases that do not meet criteria
d. Completes the audit process
ANS: D
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The nurse is caring for a client who has recently received a permanent colostomy. The client will be going home in several days and requires discharge teaching. What should the nurse do when organizing the teaching experience?
A) Ask the client to tell the nurse what is known about caring for the colostomy. B) Make sure the client's spouse is present before the teaching session begins. C) Start from the beginning and proceed through all steps required to perform colostomy care. D) Break the information into small sessions to enhance learning.
A patient has an elevation in the prostatic-specific antigen (PSA) level from 4 to 6 ng/L. What should the nurse suspect to be the cause?
a. Possibility of prostatic cancer b. ED c. Probability of orchiditis d. Significant indication of Peyronie disease
In atrial fibrillation, the AV node attempts to protect the ventricles from the hundreds of impulses bombarding it per minute by blocking many of the impulses generated by the irritable sites in the atria
Indicate whether the statement is true or false
D.W. is a 25-year-old married woman with three children under 5 years old. She came to her physician
7 months ago with vague complaints of intermittent fatigue, joint pain, low-grade fever, and unintentional weight loss. Her physician noted small, patchy areas of vitiligo and a scaly rash across her nose, cheeks, back, and chest at that time. Laboratory studies revealed that D.W. had a positive antinuclear antibody (ANA) titer, positive anti-dsDNA test, positive anti-Sm test, elevated C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR), and decreased C3 and C4 serum complement. Joint x-ray films demonstrated joint swelling without joint erosion. D.W. was diagnosed with systemic lupus erythematosus (SLE). Her initial treatment consisted of hydroxychloroquine (Plaquenil) 400 mg and prednisone (Deltasone) 20 mg orally per day, bed rest, and ice packs. D.W. responded well and the steroid was tapered and discontinued. She was told she could report for follow-up every 6 months unless her symptoms became acute. D.W. resumed her job in environmental services at a large geriatric facility. What is the significance of each of D.W.'s laboratory findings?