Outcomes measurement is complex because:
a. budgets are unable to allocate sufficient funds.
b. health care is multidimensional.
c. patients may not cooperate.
d. treatments are not always necessary.
B
Despite the tendency to assume and measure outcomes as a simple linear relationship among client, nursing intervention, and outcome, the reality of what happens is more complex, interac-tive, and multidimensional (Oermann & Huber, 1999).
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The nurse places a patient in a treatment room of the emergency department for treatment of abdominal pain and vaginal bleeding. The patient is a female of the Islamic culture
The husband of the patient speaks for the woman and asks that only a female doctor examines his wife for the pelvic exam. To provide culturally appropriate care for this client, the nurse would explain that A) the male and female doctors both respect the client's privacy. B) the client will be covered with a sheet so it will not matter whether the examiner is male or female. C) the request is unreasonable and cannot be honored. D) a female doctor is present so their request can be accommodated.
A critically ill patient is diagnosed with disseminated intravascular coagulation (DIC). Which history would the nurse evaluate as indicating increased risk for this development?
1. The patient had a transfusion reaction yesterday. 2. The patient was intubated and placed on mechanical ventilation 2 days ago. 3. The patient has a long history of hypertension. 4. The patient passed a kidney stone this morning.
The client injects his insulin as prescribed, but then gets busy and forgets to eat. What is the nurse's most likely assessment finding?
1. The client will be very thirsty. 2. The client will need to urinate. 3. The client will have moist skin. 4. The client will complain of nausea.
When teaching about wound care in the home environment, the nurse instructs the client and caregiver to:
A. Make normal saline with 2 teaspoons of salt and 1 quart of boiling water B. Use normal saline for 1 week and then discard it C. Always apply topical anesthetics before wound care D. Call the physician's office to have someone come to the home and complete the wound care