A nurse is invited to join the utilization review team to help the agency avoid giving unnecessary care. Which of the following difficulties would the nurse most likely confront as client records are reviewed?
a. Alternative care options rather than agency care are often encouraged.
b. Not all clients fit the pattern and need more care than guidelines suggest.
c. The nurse suggests the agency provide guidelines to professionals giving care.
d. The agency is now accountable to its clients and their families.
ANS: B
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A patient with coronary artery disease is having a cardiac evaluation to assess for possible valvular disease. Which study best identifies valvular function and measures the size of the cardiac chambers?
a. 12-lead electrocardiogram b. Cardiac catheterization c. Echocardiogram d. Electrophysiology study
The nurse anticipates that a patient returning from elective surgery will have ventilator settings most similar to which of the following?
1. SIMV with a rate of 12, V•T 750 mL, FIO2 .60 2. SIMV with a rate of 4, V•T 1,200 mL, FIO2 .60 3. assist-control with a rate of 16, V•T 1,000 mL, FIO2 .40 4. assist-control with a rate of 20, V•T 1,200 mL, FIO2 .60
The total or partial loss of the ability to use or understand language is:
a. Braille b. Cerumen c. Aphasia d. Tinnitus
Physical drug dependence is
A. the self-administration of a drug in chronically excessive quantities. B. a physical need for a drug. C. a drive or craving to take a drug to relieve discomfort. D. a problem with people who take their own medications at home.