Which type of employer-contracted insurance plan has its own providers and pharmacies which the patient must use to have the healthcare services and products paid by the plan?
a. HMO
b. PPO
c. PBM
d. CHIP
Answer: a. HMO
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During a nurse-client interview the client attempts to shift the session focus from himself to the
nurse by asking personal questions. The nurse should respond by saying a. "You have no right to ask questions about my personal life.". b. "Nurses prefer to direct the interview.". c. "You've turned the tables on me.". d. "This time we spend together is for you to discuss your concerns.".
You are caring for a critically ill patient whose urine output has been low for 2 consecutive hours. After a thorough patient assessment, you call the intensivist with the following report
Dr. Smith, I'm calling about Mrs. P., your 65-year-old patient in CCU 10 . Her urine output for the past 2 hours totaled only 40 mL. She arrived from surgery to repair an aortic aneurysm 4 hours ago and remains on mechanical ventilation. In the past 2 hours, her heart rate has increased from 80 to 100 beats per minute and her blood pressure has decreased from 128/82 to 100/70 mm Hg. She is being given an infusion of normal saline at 100 mL per hour. Her right atrial pressure through the subclavian central line is low at 3 mm Hg. Her urine is concentrated. Her BUN and creatinine levels have been stable and in normal range. Her abdominal dressing is dry with no indication of bleeding. My assessment suggests that Mrs. P. is hypovolemic and I would like you to consider increasing her fluids or giving her a fluid challenge. Using the SBAR model for communication, the information the nurse gives about the patient's history and vital signs is: a. Situation b. Background c. Assessment d. Recommendation
A client is being treated for acute pancreatitis. Which of the following should be monitored closely if the physician inserts a central venous catheter in this client?
A) Serum electrolyte values C) Pressure measurements B) Urine volume D) Lung sounds
A client refuses to get out of bed because he wants a specific nurse to help him because "she knows what do to.". The currently assigned nurse does not help the client out of bed. Which of the following does this situation suggest?
1. The current nurse is compromising the client's care. 2. The client is combative. 3. The current nurse is manipulating the client. 4. The client is hiding his real reason for not getting out of bed.