The nurse is collecting data during a routine patient admission history and physical. The patient reports she has experienced bleeding between her menstrual periods. What initial action by the nurse is most appropriate?
1. Determine the timing of the bleeding episodes.
2. Determine the amount of bleeding.
3. Assess for the presence of sexually transmitted infections.
4. Review the length of the patient's normal menstrual cycles.
1
Rationale 1: Bleeding between menstrual cycles could have several causes. It can be a result of mid-cycle ovulation and normal. It is most important to identify the timing of the bleeding to determine the underlying cause.
Rationale 2: Assessment of the amount of bleeding is second in importance.
Rationale 3: There is no indication the patient has sexually transmitted infections.
Rationale 4: The length of the patient's menstrual cycle is a part of the data collection process, but it is not of the greatest importance.
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The nurse manager is planning strategies to empower nurses. Which is most likely to be beneficial to a frontline nurse at the point of service? Select all that apply
1. A library where nurses can read quietly during breaks and lunch 2. A strong, well-organized orientation program for new hires 3. A weekly staff meeting with CE opportunities offered frequently 4. An active, well-attended bicycling club which meets every week 5. A manager who encourages staff to join professional organizations
The nurse monitors a patient on total parenteral nutrition for the complication of:
1. respiratory congestion. 2. hypoglycemia. 3. vomiting. 4. hypotension.
Which of the following statements about public health is accurate?
a. Prevention of early deaths can be more effectively accomplished by medical treatment than by public health approaches. b. Expenditures and resources for public health have increased in recent years. c. Historically, gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior. d. Reform of the medical insurance system is the single change needed to improve the health of Americans.
The hospital Administrative team holds an employee meeting to announce that the hospital will support the use of quality report cards. What should the employees expect from this announcement? Select all that apply
1. This report card will provide specific performance data about the organization at specific intervals. 2. The goal of using these report cards is to improve the organization's services. 3. These report cards will be an inexpensive way to let the community know about the organization's quality. 4. Using these report cards will increase the average daily census of the organization. 5. These report cards will be used internally as a means of documenting performance evaluations.