A nurse who has been practicing for 3 years in an acute care facility is caring for a post–hip surgery patient
The nurse observes an abnormal change in vital signs and associates these changes with a postoperative bleeding problem. The nurse is demonstrating which proficiency level?
a. Advanced beginner
b. Competent
c. Proficient
d. Expert
ANS: B
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An enduring process in which a manager establishes systems and monitors the health status, re-sources, and outcomes for a targeted aggregate of the population is called:
a. case management. b. care management. c. disease management. d. demand management.
The nurse is discussing the importance of sodium restriction with the caretaker of her client who has moderate to severe CHF. She recommends that sodium from all sources be limited to:
1. < 2 grams/day. 2. 2–3 grams/day. 3. 3–4 grams/day. 4. 5 grams/day.
Giving handoff information is not within the nursing assistant's scope of practice.
Answer the following statement true (T) or false (F)
While the patient's lower extremity, which is in a cast, is assessed, the patient tells the nurse about an inability to rest at night
The nurse disregards this complaint, thinking that no correlation has been noted between having a leg cast and developing restless sleep. A more theoretically sound approach would be to first a. Document the sleep patterns and complaint in the patient's chart. b. Tell the patient you are just focused on the leg right now. c. Explain that a more thorough assessment will be needed next shift. d. Ask the patient about his usual sleep patterns and the onset of having difficulty resting.