Which activity performed by a nurse is related to maintaining competency in nursing
practice?
1. Asking another nurse about how to change the settings on a medication pump
2. Regularly attending unit staff meetings
3. Participating as a member of the professional nursing council
4. Attending a review course in preparation for a certification examination
Give this one a try later!
, Answer: 4.
Maintaining ongoing competency is a nurse's responsibility. Earning
certification in a specialty area is one mechanism that demonstrates
competency. Specialty certification has been shown to be positively
related to patient safety
Which of the following are common barriers to effective discharge planning? (Select
all that apply.)
1. Ineffective communication among providers
2. Lack of role clarity among health care team members
3. Number of hospital beds to manage patient volume
4. Patients' long-term disabilities
5. The patient's cultural background
Give this one a try later!
Answer: 1, 2.
Barriers to effective discharge planning include ineffective communication,
lack of role clarity among health care team members, and lack of
resources. Resources include rehabilitation and long-term care beds, not
hospital beds. The presence of long-term disability is not a barrier but a
characteristic of some patients who need greater discharge planning. A
patient's cultural background is not a barrier unless you do not consider
cultural factors in planning for discharge
A nurse is writing a telephone order for medication. Which written order does the
nurse interpret as written appropriately?
Furosemide 10.0 mg b.i.d.
Furosemide 10 mg bid PO
Furosemide 10 mg two times a day orally
Furosemide 10 mg 2×/day by mouth
,Give this one a try later!
Furosemide 10 mg two times a day orally
The clearest example of a well-written medication order is the one in which
all items are spelled out and the numerical (dose) value is written properly.
It should be "furosemide (Lasix) 10 mg two times a day orally." Medication
orders need to be completely clear. The option of 2×/day might be misread
if written sloppily. The option of 10.0 has a trailing zero, which should not be
used (easy to mistake as 100). The abbreviation "b.i.d." also should not be
used. The option with "bid" contains the abbreviation "PO."
Which of the following describe characteristics of an integrated health care system?
(Select all that apply.)
1. The focus is holistic.
2. Participating hospitals follow the same model of health care delivery.
3. The system coordinates a continuum of services.
4. The focus of health care providers is finding a cure for patients.
5. Members of the health care team link electronically to use the EHR to share the
patient's health care record.
Give this one a try later!
, Answer: 1, 3, 5.
Integrated health care systems are shifting to more holistic approaches to
health care. At the core of this shift is provision of a coordinated continuum
of services for enhancing the health status of defined populations. There is
no single model for an integrated health care system. Two types of
integrated health care delivery systems are common: an organizational
structure that follows economic imperatives, and a system that supports an
organized care delivery approach. Patient-centered medical home care is
an example; members of the care team are linked by information
technology, electronic health records, and system-best practices to ensure
that patients receive care when and where they need it, and how they want
it.
Place the following steps in the correct order for repositioning a patient in the 30-
degree lateral side-lying position using two nurses.
1. Using knee and hip for leverage, nurse rolls patient onto side.
2. Nurse facing patient's back places hands under patient's dependent shoulder and
brings shoulder blade forward.
3. Place pillows under semiflexed upper leg level at hip from groin to foot. 4. Flex
patient's knee that will not be next to mattress, after being turned. Keep foot on
mattress. Nurse places one hand on patient's upper bent leg. 5. Place hands under
dependent hip and bring hip slightly forward so angle from hip to mattress is
approximately 30 degrees.
6. Position patient on side of bed in opposite direction toward which patient is to be
turned, then move upper and lower trunk.
7. Lower head of bed completely or as low as patient can tolerate. One nurse on each
side of bed.
Give this one a try later!
Answer: 7, 6, 4, 1, 2, 5, 3. 5.
practice?
1. Asking another nurse about how to change the settings on a medication pump
2. Regularly attending unit staff meetings
3. Participating as a member of the professional nursing council
4. Attending a review course in preparation for a certification examination
Give this one a try later!
, Answer: 4.
Maintaining ongoing competency is a nurse's responsibility. Earning
certification in a specialty area is one mechanism that demonstrates
competency. Specialty certification has been shown to be positively
related to patient safety
Which of the following are common barriers to effective discharge planning? (Select
all that apply.)
1. Ineffective communication among providers
2. Lack of role clarity among health care team members
3. Number of hospital beds to manage patient volume
4. Patients' long-term disabilities
5. The patient's cultural background
Give this one a try later!
Answer: 1, 2.
Barriers to effective discharge planning include ineffective communication,
lack of role clarity among health care team members, and lack of
resources. Resources include rehabilitation and long-term care beds, not
hospital beds. The presence of long-term disability is not a barrier but a
characteristic of some patients who need greater discharge planning. A
patient's cultural background is not a barrier unless you do not consider
cultural factors in planning for discharge
A nurse is writing a telephone order for medication. Which written order does the
nurse interpret as written appropriately?
Furosemide 10.0 mg b.i.d.
Furosemide 10 mg bid PO
Furosemide 10 mg two times a day orally
Furosemide 10 mg 2×/day by mouth
,Give this one a try later!
Furosemide 10 mg two times a day orally
The clearest example of a well-written medication order is the one in which
all items are spelled out and the numerical (dose) value is written properly.
It should be "furosemide (Lasix) 10 mg two times a day orally." Medication
orders need to be completely clear. The option of 2×/day might be misread
if written sloppily. The option of 10.0 has a trailing zero, which should not be
used (easy to mistake as 100). The abbreviation "b.i.d." also should not be
used. The option with "bid" contains the abbreviation "PO."
Which of the following describe characteristics of an integrated health care system?
(Select all that apply.)
1. The focus is holistic.
2. Participating hospitals follow the same model of health care delivery.
3. The system coordinates a continuum of services.
4. The focus of health care providers is finding a cure for patients.
5. Members of the health care team link electronically to use the EHR to share the
patient's health care record.
Give this one a try later!
, Answer: 1, 3, 5.
Integrated health care systems are shifting to more holistic approaches to
health care. At the core of this shift is provision of a coordinated continuum
of services for enhancing the health status of defined populations. There is
no single model for an integrated health care system. Two types of
integrated health care delivery systems are common: an organizational
structure that follows economic imperatives, and a system that supports an
organized care delivery approach. Patient-centered medical home care is
an example; members of the care team are linked by information
technology, electronic health records, and system-best practices to ensure
that patients receive care when and where they need it, and how they want
it.
Place the following steps in the correct order for repositioning a patient in the 30-
degree lateral side-lying position using two nurses.
1. Using knee and hip for leverage, nurse rolls patient onto side.
2. Nurse facing patient's back places hands under patient's dependent shoulder and
brings shoulder blade forward.
3. Place pillows under semiflexed upper leg level at hip from groin to foot. 4. Flex
patient's knee that will not be next to mattress, after being turned. Keep foot on
mattress. Nurse places one hand on patient's upper bent leg. 5. Place hands under
dependent hip and bring hip slightly forward so angle from hip to mattress is
approximately 30 degrees.
6. Position patient on side of bed in opposite direction toward which patient is to be
turned, then move upper and lower trunk.
7. Lower head of bed completely or as low as patient can tolerate. One nurse on each
side of bed.
Give this one a try later!
Answer: 7, 6, 4, 1, 2, 5, 3. 5.
