Community-oriented nurses need effective leadership, interpersonal, political, organizational, fiscal, analytical, and information competencies. Working in the community involves:
1. Highly technical skills in acute care as a background
2. Great political savvy to deal with local officials
3. Computer and word-processing skills
4. Being able to work with populations and groups to build coalitions and work with partnerships
4
Community-oriented nurses must be able to work comfortably with different types of people and cultures.
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An elderly patient with a glomerular filtration rate is scheduled for a CT scan with contrast. Which of the following can be provided to the patient to prevent any further renal damage?
1. vitamin B 12 2. vitamin D 3. N-acetylcystine 4. intravenous infusion of 5% dextrose
The nurse needs to obtain a sterile urine specimen for culture and sensitivity (C&S) from a patient who has an indwelling catheter. The catheter was placed the night before. What must the nurse do to obtain the specimen?
a. Obtain the urine from the drainage bag. b. Clamp the drainage tubing for 10 to 15 minutes. c. Draw urine using a 20-mL syringe. d. Insert the needle into the silicone catheter.
The nurse is caring for a hospitalized client with a diagnosis of ulcerative colitis. Which finding, if noted on assessment of the client, would the nurse report to the physician?
A. Hypotension B. Bloody diarrhea C. Rebound tenderness D. A hemoglobin level of 12 mg/dL
What heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood?
a. S1, S2 c. Murmur b. S3, S4 d. Physiologic splitting