The hospital's management team wishes to institute case management to improve the quality of nursing care. As a beginning step, the team is choosing specific medical diagnoses on which to focus

What criteria should the team use when choosing these diagnoses? 1. Diagnoses given to only a few clients
2. Diagnoses that carry high risk for the client and the provider
3. Diagnoses that have low reimbursement rates
4. Diagnoses that involve as few providers as possible


2
Rationale 1: Case management is used for high-volume diagnoses.
Rationale 2: Case management is used with high-risk diagnoses.
Rationale 3: Case management is used with high-cost diagnoses.
Rationale 4: The number of providers associated with a diagnosis is not a criterion for case management.
Global Rationale:

Nursing

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A) Evolution B) Involution C) Decrement D) Progression

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A patient in the intensive care unit is being evaluated for brain death. Which finding is an indication of brain death?

1. Absence of all motor responses to noxious stimuli 2. No respiratory effort when the patient is off the ventilator for 4 minutes with a pCO2 of 49 3. Absence of a cough reflex with nasotracheal stimulation 4. Pupils that are 3 mm and respond to light

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The nurse is caring for a postoperative patient who becomes restless, hypotensive, tachycardic, and tachypneic. Which nursing action should be given priority?

a. Notify the patient's family. b. Ensure physician is informed. c. Monitor vital signs. d. Maintain a patent airway.

Nursing