A home health nurse is working with a physical therapist and home health aides to work out a schedule for their visits that will best address the patient's needs. Which nursing role does this demonstrate?
1) Direct care provider
2) Client and family educator
3) Client advocate
4) Care coordinator
ANS: 4
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The nurse places his or her hands on the maternal abdomen to gently palpate the fundal region of the uterus. This action is described as which Leopold maneuver?
A. First maneuver B. Second maneuver C. Third maneuver D. Fourth maneuver
After reviewing a patient's laboratory values, the nurse determines the patient is experiencing fluid volume deficit. Which laboratory value would the nurse cite as supporting this determination?
1. Serum sodium 140 mEq/L 2. Urine specific gravity of 1.003 3. Urine osmolality 330 mOsm/kg 4. Serum potassium 4.3 mEq/L
Periods of silence during the interview can serve important purposes, such as:
a. allowing the clinician to catch up on do-cumentation. b. promoting calm. c. providing time for reflection. d. increasing the length of the visit.
Concerning congenital anomalies involving the central nervous system, nurses should be aware that:
1. although the death rate for most congenital anomalies has decreased over the past several decades, neural tube defects (NTDs) have gone up in the past few years. 2. spina bifida cystica is usually asymptomatic and may not be diagnosed unless there are associated problems. 3. a major preoperative nursing intervention for a neonate with myelomeningocele is to protect the protruding sac from injury. 4. microcephaly can be corrected with timely surgery.