Which of the following agencies have standards that require a nurse's documentation to be within the context of the nursing process?
A. Centers for Disease Control and Prevention
B. World Health Organization
C. The Joint Commission
D. Public Health Department
C
The Joint Commission standards require that a nurse's documentation be within the context of the nursing process, including evidence of patient and family teaching and discharge planning (TJC, 2008b). Other standards include those directed by state and federal regulatory agencies such as HIPAA, as enforced through the Department of Justice, and the Centers for Medicare and Medicaid Services.
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A patient is brought to the emergency department with a penetrating wound to the neck. The patient is dyspneic and cyanotic and has evidence of subcutaneous emphysema. What does the nurse expect the physician to do initially?
1. intubate the patient because of the severe wound 2. notify the next of kin regarding the patient's condition 3. order x-rays of the lumbar area to assess for fractures 4. administer a beta blocker to alleviate the sympathetic response
The nursing instructor provides positive feedback to the student LPN/LVN after observing the student administer an intramuscular injection to a patient. According to Maslow's human needs theory, the instructor is helping to meet the student's
a. physiological needs. b. safety needs. c. love and belonging needs. d. esteem needs.
The nurse needs to consider the effects of aging on the urinary system. What are nursing implications related to ageing that should be considered by the nurse?
1 . Monitor the fluid intake and urinary output. 2 . Assess the client for dehydration and edema. 3 . Allow one hour between the last fluid intake and bedtime. 4 . Keep a nightlight on to make nighttime bathroom visits safe. A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
Which of the following therapies may cause an individual to experience permanent changes in mood and behavior?
A. hydrotherapy B. drug therapy C. psychotherapy D. physical therapy