A nurse working in a hospital oncology unit notices that the number of lung cancer admissions has increased in a particular zip code. What steps should the nurse take to determine what is causing the increase?
A. Notify the nurse manager.
B. Both 1 and 4
C. Disregard admissions records for similar cases.
D. Present the findings to the public health department for their review.
ANS: B
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A male patient who has been prescribed isoniazid (INH, Nydrazid) reports that his breasts have enlarged since starting therapy. What is your best response?
a. "This is common with isoniazid and will disappear after you stop drug therapy." b. "Is the enlargement the same on both sides or is one breast larger than the other?" c. "If you are not having difficulty getting an erection, do not worry about this change." d. "I will report this problem to your prescriber and see if it is possible for you to stop taking this drug."
You care for a preschooler who knows she is dying. Her reaction to her impending death is most likely to be demonstrated through
A) outbreaks of anger. B) fear of being separated from her parents. C) bargaining for another chance. D) verbalization of her feelings.
Which of the following methods of documenting patient data is least likely to hold up in court if a case of negligence is brought against a nurse?
A) problem-oriented medical record C) PIE charting system B) charting by exception D) focus charting
The nurse is evaluating the effectiveness of preoperative instruction regarding leg exercises with a client recovering from surgery. Which observation indicates that the instructions were effective?
1. The lower extremity is swollen and hot to touch. 2. The vein feels hard. 3. There is no cramping or pain with ambulation. 4. There is pain in the calf with dorsiflexion.