As a nurse manager, you want to institute point-of-care devices on your unit. The rationale that you provide to support the point-of-care devices includes (select all that apply):
a. Reduction in incidents of medication er-ror.
b. Immediate documentation of care.
c. Comparison of patient data with previous data.
d. Immediate access to staffing schedules.
A, B, C
Point-of-care devices that allow documentation of assessment, care, and teaching at the bedside reduce the gap in time between care and documentation, thereby reducing error, increasing ac-curacy, and improving communication of care. Medication devices and patient databases enable accurate clinical decision making.
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A patient has been admitted to the emergency department after being in a severe motor vehicle crash. The patient was a passenger and had a lap and seat belt in place. The patient is lethargic and moaning
Initial exposure and head-to-toe examination reveals scattered minor abrasions and contusions and bruising over the upper abdomen. The patient moans more when the abdomen is palpated, and the abdomen is rigid. Heart rate is 110, capillary refill is greater than 4 seconds, and blood pressure is 140/88 mm Hg. What is the nursing priority of care? A) Administer intravenous opioid for pain. B) Increase rate of intravenous crystalloid. C) Obtain CT of the abdomen. D) Prepare for immediate endotracheal intubation.
While speaking to the family of an older adult patient with Parkinson's disease, the nurse states that there are positive aspects of Parkinson's, one of which is that:
a. the disease does not alter ability to communicate. b. anti-Parkinson's drugs have few side effects. c. intellectual function is not impaired. d. involuntary movements can be controlled.
A nurse is measuring the head and chest circumference of a child. Which of the following is a recommended guideline for these procedures?
A) Use a cloth measuring tape to measure the chest. B) Measure the occipital-frontal circumference of the head for children up to 3 years of age. C) Do not measure the head of a child with a suspected abnormality. D) Measure the chest an inch below the nipple line.
For patients infected with the human immunodeficiency virus (HIV), complex highly active antiretroviral therapy (HAART) regimens require
a. avoidance of alcohol and nonprescription medications. b. self-monitoring of blood glucose levels. c. following a neutropenic diet protocol. d. careful timing around meals and snacks to promote absorption.