You are working as a home health nurse and forgot to document that you changed your client's catheter. This oversight would most likely result in which of the following?
1. being fired from your job
2. an incident report filed against you for negligent nursing care
3. a client complaint
4. appropriate reimbursement for services being denied
ANS: 4
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Tracy, a G1 TPAL 0000 woman, is in labor at 30 weeks gestation. She is very concerned about the health of her baby and her impending preterm birth
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The nurse is caring for a patient whose pulmonary artery wedge pressure is 16 mm Hg. Which one of the following interventions should the nurse anticipate?
1. administering a 500-cc normal saline fluid bolus 2. repeat the reading after recalibrating the system 3. administering a diuretic and a vasodilator 4. repeat the reading after repositioning the patient
Terri Hall, age 29, is reporting for her annual gynecological exam. She has a history of fibrocystic disease and has large, pendulous breasts. What position is best for inspecting Ms. Hall's breasts?
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