Which of the following is regarded as a "quality of care" indicator?
A. Frequent episodes of dehydration
B. Pattern of weight loss
C. Chronic constipation
D. Repeat urinary tract infections
ANS: B
Obtain an accurate weight, and make sure the scale is calibrated. For residents of long-term care facilities, always use the same scale for the same patient and, if there is a change in scale, make sure to note that beside the weight. Document what the patient is wearing, and always weigh in that same state. Significant weight loss is a quality indicator measure, and a pattern of weight loss in any facility will trigger an investigation by state and federal regulatory agencies. Ask the patient's usual body weight if possible. Calculate ideal body weight using the same formula as for any other population.
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To reduce the risk that their patients will develop complications from shock requires the nurse to:
A) Provide an accurate diagnosis, plan of care, and appropriate interventions to allow the patient the best chance for survival B) Keep the physician updated with the most accurate information; the nurse is often powerless to help in cases of shock C) Monitor for significant changes and evaluate patient outcomes on a scheduled basis, focusing on blood pressure and skin temperature D) Understand the underlying mechanisms of shock, recognize the subtle and more obvious signs, then provide rapid assessment and response.
The cognitive developmental level of the adolescent according to Piaget is the:
a. concrete operational stage. b. sensorimotor stage. c. preoperational stage. d. formal operational stage.
A patient is in the intensive care unit with multiple organ dysfunction syndrome. Which assessment finding would suggest to the nurse that the patient is experiencing failure of the gastrointestinal system?
1. Increased flatus 2. Abdominal cramps 3. Absent bowel sounds 4. Complaint of epigastric burning
A nurse should plan further evaluation of an HIV-positive client when the client exhibits which early manifestation of toxoplasmosis infection?
a. Cardiac dysrhythmias b. Discoloration of the mucous membranes c. Headache d. Lymphadenopathy