The nurse would identify which action as a strategy that represents a fiscal responsibility in clinical nursing practice?
a. Begin discharge planning as soon as there is an order.
b. Patients should be admitted the evening before a major surgical procedure.
c. Provide care delivered by LPNs whenever possible.
d. Document the current status of the patient.
D
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A Would be counterproductive to fiscal responsibility.
B Would be counterproductive to fiscal responsibility.
C Research has shown that when RNs are directly involved in patient care, patients recover more quickly and with fewer complications.
D Documentation of patient status would ensure appropriate reimbursement.
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A client who recently had surgery is medicated prior to return to the nursing unit. Which assessment finding warrants the need for a more in-depth assessment when determining the client's score on the sedation scale?
1. The client is sleeping but is easy to arouse. 2. The client is somnolent, with minimal or no response to physical stimulation. 3. The client is slightly drowsy, but arouses easily with minimal physical stimulation. 4. The client is awake and alert visiting with family at the bedside.
A normal age-related change in older adults that makes them susceptible to cardiovascular disease is:
1. increasing cardiac output. 2. an increase in stroke volume. 3. stiff peripheral vessels. 4. oxygen capacity improvement.
To decrease the threat of a pressure ulcer, the nurse instructs a person who is in a wheelchair for long periods to:
a. reposition self every 2 hours. b. lift weight on the arms of the chair every 15 minutes. c. massage bony prominences of the buttocks and hips. d. use a donut device to keep weight off of the buttocks.
A patient's heart rate increased from 94 to 164 beats/min. What will the nurse expect?
a. Increase in diastolic filling time b. Decrease in hemoglobin level c. Decrease in cardiac output d. Increase in stroke volume