Which of the following groups determines the level of nursing care and hours of care necessary to meet the needs of the hospitalized patient?
1. American Nurses Association (ANA)
2. Joint Commission
3. Nurse managers
4. Hospital administrators
3
Explanation: 1. Staffing and scheduling is the responsibility of the nurse manager. The American Nurses
Association (ANA) has developed principles for nurse staffing, and nurse managers follow
those guidelines. The Joint Commission does not identify specific levels of nursing care hours
for specific patient populations. Although the hospital administration must ensure that the
right number of competent staff is provided to meet patient needs, the responsibility of staffing
has been delegated to the nurse manager or charge nurse.
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A patient has been diagnosed with dilated cardiomyopathy. The nurse would provide which instruction?
1. "It will be necessary for you to rest more and to limit exercise." 2. "In some cases, this condition is treated with a surgical procedure to place a dual-chamber pacemaker." 3. "You will need to take calcium channel blockers exactly as prescribed for the rest of your life." 4. "A common treatment for your condition is the implantation of a cardioverter-defibrillator."
The spouse accompanies a pregnant client to a prenatal visit. Which question should the nurse use to determine the amount of anticipatory guidance the spouse will need?
1. "What kind of work do you do?" 2. "How moody has your wife been lately?" 3. "What furniture have you gotten for the baby?" 4. "How are you feeling about becoming a father?"
A patient with gastroesophageal reflux disease (GERD) is to begin taking oral metoclopramide [Reglan]. The patient asks the nurse about the medication. Which response by the nurse is cor-rect?
a. "After 3 months, if the drug is not effec-tive, you may need to increase the dose." b. "Metoclopramide may cause hiccups, es-pecially after meals." c. "Serious side effects may occur but will stop when the drug is discontinued." d. "You should take the drug 30 minutes be-fore each meal and at bedtime."