A hospital successfully implemented its disaster plan to manage providing care during a massive 3-day snow storm. What is the most likely way additional costs for this service will be paid?

1. Medicare will increase reimbursement for any client age 65 or over who was hospitalized during the disaster.
2. The federal government will pay any costs over and above the normal operating expenses for the time period.
3. The hospital will absorb the additional costs.
4. State and county governments have reserve funds to reimburse for such expenses.


3
Rationale 1: Medicare will not increase reimbursement.
Rationale 2: There may or may not be federal reimbursement. If reimbursement is made it will likely not be at the full cost to the hospital.
Rationale 3: It is likely that the hospital will absorb the additional costs.
Rationale 4: There are likely no additional funds earmarked to reimburse the hospital for these expenses.
Global Rationale:

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The nurse is caring for a patient with multiple organ dysfunction syndrome. Which interventions would help optimize tissue perfusion for this patient?

1. Assess pulse oximetry. 2. Maintain patency of the endotracheal tube. 3. Administer pain medications as scheduled. 4. Keep the environment calm and quiet. 5. Maintain a darkened environment.

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After an assessment, a couple planning marriage decides to schedule an appointment for genetic counseling in several months. Which information from the assessment would support this couple's decision? (Select all that apply.)

A) The male and female are second cousins. B) The male has a friend who has hemophilia. C) The female has a foster brother with sickle-cell anemia. D) The male and female are both of Mediterranean descent. E) The female's sister gave birth to a baby with Down syndrome.

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The home care nurse administers ½ cup of orange juice to the client with diabetes who is experiencing symptoms of a mild hypoglycemic episode. The client's clinical manifestations have not changed 5 minutes later

What is the nurse's best next action? A. Administer an additional ½ cup of orange juice. B. Document the finding as the only action. C. Administer 10 units of regular insulin. D. Notify the physician.

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Health influences everything in our lives. Health must be considered in its broadest, holistic sense. The student nurse is looking for the social health for a client in the electronic medical record

What type of information would the student nurse locate about a client's social health? A) Feelings and attitudes of being comfortable with oneself B) A mind that grows and adjusts to changing family situations and is in control, and free of serious stress C) A sense of responsibility for one's own actions and caring for the health and welfare of other family members D) Inner peace and security and comfort with one's religious beliefs

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