A client undergoes a lumbar puncture to aid in diagnosing the onset of neuromuscular weakness. What is the rationale for providing two client identifiers on the cerebrospinal fluid that is sent to the laboratory?
A. It is a requirement of the Clinical Laboratory Improvement Act (CLIA) and amendments.
B. It prevents mislabeled specimens from being sent to the laboratory.
C. It is a quality improvement step to minimize unnecessary diagnostic testing.
D. It assures the client that the laboratory results will remain confidential.
A
The objective of the CLIA program is to ensure quality laboratory testing. Medicare and Medi-caid, which oversee the program, generate rules for certified clinical laboratories. By providing two identifiers on each specimen, there is less likelihood that specimens and results will be mi-sidentified.
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The nurse is trying to improve the nutritional status of residents in the nursing home. Which recommendations should the nurse implement?
a. Develop a seating chart for the main din-ing room based on the unit to facilitate a more organized and efficient meal deli-very. b. Replace the fluorescent lighting with can-dles at every table to create a cozy, res-taurant-like atmosphere. c. Provide nutritious food according to the residents' expressed food preferences with a liberal use of seasonings that do not ex-ceed any sodium restrictions. d. Distribute "med-pass" nutritional supple-ments.
The payment system that is used by health maintenance organizations (HMOs) is known as
1. Capitation. 2. Medicaid. 3. Medicare. 4. Single payer.
A client with heart failure is experiencing acute shortness of breath. What is the nurse's priority action?
a. Place the client in a high Fowler's posi-tion. b. Perform nasotracheal suctioning of the client. c. Auscultate the client's heart and lung sounds. d. Place the client on a 1000 mL fluid re-striction.
A client tells the nurse that he is planning to retire and plans to become involved with charitable organizations. The nurse realizes this client is within which of the following stages of Levinson's Theory of Adult Development?
1. Middle Age 2. Late Adulthood 3. Old Age 4. The Thirties