The Joint Commission Standard states that the __________, __________, and __________ are accurately identified and clearly communicated during the final verification process before the start of any surgical or invasive procedure
Fill in the blank with the appropriate word.
ANS: site; procedure; patient
To decrease the risk of surgery or invasive procedure being done on the wrong patient or in the wrong site, a "time-out" is called, and active communication to verify correct procedure, site, and patient is done just prior to the beginning of surgery or invasive procedure.
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The Rhythm Model uses the anachronism PQRST. The letters stand for:
A) Prioritize, Question, Re-check, Self-reliance, Treat B) Plan, Quantify, Re-evaluate, Self-assurance, Treat C) Prioritize, Quantify, Re-check, Self assurance, Treat D) Plan, Question, Re-evaluate, Self-reliance, Treat
The nurse is explaining to the family of a client with schizophrenia that the medications the client is taking will:
1. sedate the client. 2. prevent the excess dopamine from having an effect on the client. 3. cause the client to sleep for longer periods of time. 4. increase akathisia.
The nurse caring for a patient post colon resection is assessing the patient on the first postoperative day. The nasogastric tube (NG) remains patent and continues at low intermittent wall suction
The IV is patent and infusing at 125 mL per hour. The patient reports pain at the incision site rated at a three on a zero-to-ten rating scale. During your initial shift assessment, the patient complains of cramps in her legs and a tingling sensation in her feet. Your assessment indicates decreased deep tendon reflexes (DTRs). You suspect the patient has hypokalemia. What other signs or symptoms would you expect this patient to exhibit? A) Increased bowel motility B) Dilute urine C) Increased muscle strength D) Excessive thirst
A nurse on the unit is meeting with her client for the first time. After introducing herself, which of these possible statements best defines the nurse's role as the client's ally and helper?
1. "I will work with your doctor to help you get better." 2. "I'll be working with you to look at problems that are troubling you." 3. "Your medications will help you feel better as soon as they take effect." 4. "You will be expected to attend group activities while you are here."