Nurses who work in a skilled nursing facility need nursing expertise in which of the following areas? (Select all that apply.)
a. Gerontological nursing
b. IV fluid management
c. Ventilator management
d. Depression/violent behavior management
e. Wound care management
ANS: A, B, C, E
An intermediate care or skilled nursing facility offers skilled care provided by a licensed nursing staff. This often includes administration of IV fluids, wound care, long-term ventilator management, and physical rehabilitation. Patients receive extensive supportive care until they are able to move back into the community or into residential care. Nurses who work in a skilled nursing facility need nursing expertise similar to that of nurses working in acute care inpatient settings, along with a background in gerontological nursing principles. Patients who suffer emotional and behavioral problems such as depression, violent behavior, and eating disorders often require special counseling and treatment in psychiatric facilities.
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a. fear. b. guilt. c. hostility. d. grief.
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An older client is prescribed a blood transfusion of two units packed red blood cells. What should the nurse do when providing the blood to this client? Select all that apply.
1. Place the client on a heart monitor. 2. Administer each unit over two to four hours. 3. Provide a diuretic between the two units as prescribed. 4. Carefully assess the intravenous access site for infiltration. 5. Monitor vital signs and urine output during the transfusion.