The RN receives reports on eight clients in the morning. Client assignments are then delegated to an LPN and two nursing assistants
The morning is busy with physician visits and new client orders and the RN communicates these new orders to the LPN and nursing assistants. The RN also meets with the case manager to discuss nursing home placement for one of the clients. What type of nursing care delivery system is in place in this hospital? 1. Total patient care
2. Functional nursing
3. Team nursing
4. Critical pathways
3
Explanation: 1. The RN in this case is leading a team. A variety of skilled caregivers cares for a group of
clients. Total patient care is given by one nurse. Functional nursing breaks down the
assignments into tasks. Critical pathways are a set of strategies used by health care providers
to attain expected outcomes.
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An older adult client is being transferred to another facility in order to continue physical therapy after having a total right hip replacement
What type of facility will provide skilled nursing and rehabilitative care for this patient who will go home after the rehabilitation? A) Acute care facility B) Long-term acute care C) Skilled nursing care D) Intermediate care facility
You are working in a long-term care facility with a group of older adults with cardiac disorders. Why would it be important for you to closely monitor an older adult receiving digitalis preparations for cardiac disorders?
A) Older adults are at increased risk for toxicity. B) Older adults are at increased risk for cardiac arrests. C) Older adults are at increased risk for hyperthyroidism. D) Older adults are at increased risk for asthma.
When a patient who is 8 hours postoperative from a total thyroidectomy shows a positive Chvostek's sign and complains of muscle cramps, the nurse interprets these assessments as in-dicative of:
a. imminent convulsion. b. hypoparathyroidism. c. hyperkalemia. d. thyroid storm.
Which group of persons is least likely to be considered a vulnerable, high-risk group?
A. Homeless women and children B. IV drug users C. Pregnant single teenage girls D. Single adolescent men