When a home health nurse visits a family for the first time, what is the nurse's primary goal?
a. Complete physical examinations on as many family members as time allows.
b. Have the family complete as many assessment tools as time allows.
c. Make sure all records, including third-party payer information, are accurate.
d. Observe and interview the family to identify family strengths and needs.
ANS: D
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What conditions will these decisions have in common? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. There is risk associated with the decision. 2. The alternatives are known. 3. The conditions of each alternative are clear. 4. Possible consequences of alternatives are not known. 5. The decision is complex and dynamic.
The nurse informs the parents of a small-for-gestational-age newborn that complications can occur, including:
1. Hyperglycemia 2. Cognitive difficulties 3. Leukocytosis 4. Hyperthermia
T.C. is a 49-year-old woman who 3 weeks ago underwent a vaginal hysterectomy and right salpingo-
oophorectomy for abdominal pain and endometriosis. Postoperatively, she experienced an intra- abdominal hemorrhage, requiring transfusion with 3 units of packed red blood cells (RBCs). after discharge, she continued to have abdominal pain, chills, and fever. She was readmitted twice: first for treatment of postoperative infection and second for evacuation of a pelvic hematoma. Despite treat- ment, T.C. continued to have abdominal pain, chills, fever, and nausea and vomiting. T.C. has now been admitted to your unit from the postanesthesia care unit (PaCU) after an explor- atory laparotomy. Vital signs (VS) are 130/70, 94, 16, 99.7 ° F (37.6 ° C). Respirations are shallow and her Spo2 is 93% with oxygen at 2 L by nasal cannula. She is easily aroused and oriented to place and person. She dozes between verbal requests. She has a low-midline abdominal dressing that is dry and intact and a Jackson-Pratt drain that is fully compressed and contains a scant amount of bright red blood. Her Foley to down drain has clear yellow urine. She is receiving an IV of 1000 mL D5.45NS at 100 mL/hr in her left forearm, with no swelling or redness. T.C. is receiving IV morphine sulfate for pain control through a patient-controlled analgesia (PCa) pump. The settings are dose 2 mg, lock-out interval 20 minutes, 4-hour maximum dose of 30 mg. When aroused, she states that her pain is an 8 on a scale of 1 to 10. What concerns you most right now about T.C. and why?
Hydralazine 10 mg IV every 4 hours is ordered for a patient with hypertension. The medication is available in a 10-mg/2-mL concentration. How many milliliters of hydralazine would the nurse administer with each dose? _____
Fill in the blank(s) with correct word