The nurse is caring for four clients on a medical unit. The nurse is most correct to review which client's laboratory reports first for an electrolyte imbalance?
A) A 7-year-old with a fracture tibia
B) A 65-year-old with a myocardial infarction
C) A 52-year-old with diarrhea
D) A 72-year-old with a total knee repair
C
Feedback:
Electrolytes are in both intracellular and extracellular water. Electrolyte deficiency occurs from an inadequate intake of food, conditions that deplete water such as nausea and vomiting, or disease processes that cause an excess of electrolyte amounts. The 52-year-old with diarrhea would be the client most likely to have an electrolyte imbalance. The orthopedic patients will not likely have an electrolyte imbalance. Myocardial infarction patients will occasionally have electrolyte imbalance, but this is the exception rather than the rule.
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The nurse understands that when using a nontraditional model of population-based nursing practice, the primary goal is to:
a. contain costs. c. maintain quality of care. b. increase costs. d. decrease quality of care.
The nurse cares for a client who wears soft contact lenses for vision correction. Which statement will the nurse include when teaching the client about care of the lenses?
A. "If you do not have saline solution, saliva works to cleanse the lenses." B. "If you wear disposable lenses, it is acceptable to cleanse them and wear them again." C. "If you are removing the lens, place your thumb and forefinger directly on the lens." D. "If you wear disposable lenses, be sure to cleanse the lens container daily."
When evaluating a health care team member's ability to put on a sterile gown and perform closed gloving, it is most important for the nurse to assess for which outcome?
a. Opening the sterile gown pack on a sterile surface b. Holding the gown close to the body before applying c. Having the circulating nurse tie the gown at the hip d. Keeping the hands inside the sleeves of the gown until the gloves are applied
A patient asks why all information is being entered into a computer instead of the paper chart. Which response should the nurse make about the electronic health record (EHR)? Select all that apply.
A) Improved billing processes B) Reduced amount of co-pays for office visits. C) Record available when and where needed. D) Increased control over personal health information E) Access by more than one person at any given time.