A nurse is caring for a client who has developed aphasia following an accident. Which
should the nurse keep in mind when caring for this client?
A) Speak in a loud voice to the client
B) Write instructions to the client
C) Establish hand and eye signals
D) Repeat instructions to the client
C
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A chest tube that was inserted for a child with a pneumothorax becomes dislodged from the child's chest. Which of the following would the nurse do first?
A) Apply a Vaseline gauze occlusive dressing. B) Clamp the chest tube close to the child's chest. C) Administer supplemental oxygen at 100% D) Notify the child's physician to reinsert the tube.
The staff at a primary care office is asked to document the time the patient checks in, the time the patient is called into the exam room, and the time the patient is checked out. This is an example of what managed care strategy?
1. Provider performance 2. Length of stay management 3. Capitation 4. Formularies
The nurse is caring for a patient with advanced cancer who has decided to discontinue chemotherapy treatment and try an alternative therapy that has not been proved effective. The nurse, whose mother recently died of the same type of cancer, strongly disagrees with the patient's choice. The patient asks the nurse's opinion about the therapy. Which response is best?
a. "I'm sorry, but I don't feel prepared to answer your question. I would prefer you ask your physician that question." b. "My mother died recently with the same type of cancer you have. I would be very careful before stopping the therapy." c. "As a nurse, I am obligated to encourage you to seek the best treatment possible. I cannot in good conscience advise you to have the alternative treatment." d. "Because your disease is so advanced and traditional treatments have failed, I think trying the alternative treatment can do no harm."
A client has pneumonia that is worsening and needs an antibiotic administered rapidly. The client is also at risk for fluid overload. Which of the following IV devices would most likely be used for this client?
A) IV piggyback (IVPB) B) Volume-controlled infusion C) IV bolus D) Saline lock