The Joint Commission (TJC) has set standards for employee ongoing education in which situa-tions? (Select all that apply.)

a. Must occur after the end of orientation
b. Must occur whenever responsibilities change
c. To increase knowledge of work-related issues
d. All staff must participate whenever an event occurs
e. When and how to report adverse events


ANS: B, C, E
Options B, C, and E are correct because TJC mandates that ongoing education should occur around this specific activity. Options A and D are not included in the mandate.

Nursing

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The nurse is caring for a patient who has had a nasogastric tube in place for 24 hours. The pH of the aspirate is 8.0, which most likely indicates:

A) Gastric aspirate B) Intestinal aspirate C) Pleural aspirate D) Tracheoesophageal aspirate

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Access to health care may be more limited for low socioeconomic groups

Barriers to access are policies and financial, geographical, or cultural features of health care that make services difficult to obtain or so unappealing that people do not wish to seek health care. An example of the removal of a barrier to health care is: 1. Subconscious discrimination by providers that are unwilling to treat certain groups 2. Allowing pets to be treated at the same facility 3. Providing free food at a food bank 4. Providing a mobile van staffed by nurse practitioners to provide services for a rural population

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In providing bladder training for a patient with incontinence, a nurse would include instructions to do which of the following? Select all that apply

1. Drink a maximum of four glasses of water each day. 2. Drink most of the fluids for the day with breakfast. 3. Avoid coffee, tea, or colas with caffeine. 4. Go to the bathroom at least every 2 hours. 5. Drink less in the evening to avoid nighttime difficulties.

Nursing

A toddler sustains a minor burn on the hand from hot coffee. The first action in treating this burn is to:

a. Apply ice to burned area. b. Hold the burned area under cool running water. c. Break any blisters with a sterile needle. d. Clean the wound with soap and warm water.

Nursing