Nurse Z has been assigned to care for Mrs. D, a trauma patient with bilateral femoral spiral fractures and a torn spleen, which was removed two days ago
Mrs. D confides to Nurse Z that she agreed to an advance directive when she entered the hospital, but now she is not so sure this is what she wants. Mrs. D asks if this is normal for her to feel this way. Which element of the University of Colorado Hospital Model should Nurse Z consider first in this situation?
a. clinical expertise c. patient preferences
b. benchmarking data d. quality improvement and risk data
C
Of the nine possible elements utilized in the University of Colorado Hospital Model, patient preferences would be the most appropriate in this situation, as it includes discussion, documentation, and implementation of the patient's wishes regarding advance directives, pain management, etc. Even though having Nurse Z consult the patient's health care practitioner (clinical expertise) is also indicated, the primary need for this patient is to have her questions answered and some discussion of her concern.
You might also like to view...
Order: Add 125 mg of morphine sulfate to DW 250 mL stat. and infuse at 0.005 mg/kg/min. Calculate the flow rate in milliliters per hour for the patient who weighs 95 kilograms
1. 0.2 mL/h 2. 28.5 mL/h 3. 0.95 mL/h 4. 57 mL/h
Because older adult clients frequently do not present the usual signs and symptoms of urinary tract infection, the major clinical manifestation may be:
a. incontinence c. fever of unknown origin b. signs of acute confusion d. nausea and vomiting
A patient with fractures of the femur and pelvis is restless and has a heart rate of 112 and a respiratory rate of 28 . What actions should the nurse take?
a. Notify the healthcare provider and check vital signs. b. Restrict physical activity and elevate the head of the bed. c. Reposition the patient and administer pain medication. d. Listen to the lung sounds and give a mus-cle relaxant.
A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a personal story about the care that has been received. Which interaction is the nurse using?
a. Narrative b. Socializing c. Nonjudgmental d. SBAR