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A chare nurse in an emergency department is informed that a tornado touched down in a nearby town and mass casualties are en route. which of the following actions should the nurse take first? A. Follow Facility policy to activate the disaster plan B. Prepare the triage rooms. C. Obtain additional supplies D. Call in off-duty staff - A is correct The nurse has little information other than that several clients are expected in a short period of time. According to evidenced-based practice, t...

a nurse reinforces teaching to a client about end-of-life decisions. which information about advance directives is correct? a. informed consent should be verified b. a health care proxy can be designated c. specific dietary restrictions are identified d. legal counsel is needed to make decisions - b. a health care proxy can be designated a client who has a terminal illness decides to discontinue treatment. what is the appropriate response from the nurse? a. why are you giving up? b. tel...

A nurse is caring for a client who has suspected meningitis and a decreased level of consciousness. What is the appropriate action for the nurse to take? - Place client on NPO status Change in level of consciousness is common and could lead to aspiration if PO A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis. What are 3 indicators of viral meningitis? - Negative gram stain Normal glucose content Normal protein content A nurse is caring for a 4 mo...

A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the following client statements demonstrates understanding? A. "A water-soluble lubricant should be used with condoms." B. "A diaphragm should be removed 2 hours after intercourse." C. "Oral contraceptives can worsen a case of acne." D. "A contraceptive patch is replaced once a month." - A. "A water-soluble lubricant should be used with condoms." A nurse is instructing a client who is tak...

A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? - Betamethasone Rationale: The nurse should plan to administer betamethasone IM, a glucocorticoid, to stimulate fetal lung maturity and thereby prevent respiratory depression. a diet teaching for hyperemesis gravidarum "I will eat foods that taste good instead of balancing my meals." "I will avoid having a snack before...

Around what time period is it possible to first hear the fetal heart tones? - End of first trimester. 10th or 11th week of gestation. Where should you position the device to listen to a fetal heart tone? - Start at midline above the symphysis pubis. Slowly move around abdomen if not heard right away. What two things can make it hard to hear fetal heart tones? - Excessive amniotic fluid (hydraminos) or excessive subcutaneous fat. What is the name of the assessment for assessing gestational ...

A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply). A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression. C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I should...

A charge nurse is discussing mental status examination with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates and understanding of the teaching? (Select all that apply). A. "To assess cognitive ability, I should ask the client to count backwards by seven." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote me...

A 9 year old child with sickle cell anemia lives with her father, stepmother, and half sibling. Which of the following describes this family's composition? A. Nuclear family B. Blended family C. Extended family D. Binuclear family - B. Blended family A blended family includes at least one stepparent, stepsibling, and/or half-sibling. A nuclear family includes two parents and their children. An extended family includes on or more parents, one or more children, and other family members su...

Nuchal rigidity (neck stiffness), photophobia (intolerance of bright light) and headache. - 180. A nurse is assisting with the admission of an adolescent client who is suspected of having bacterial meningitis. Which of the following findings should the nurse expect? 179. A nurse is planning client care for a shift. Which of the following should the nurse plan to delegate to an assistive personnel? - d. Ambulating a client receiving patient-controlled analgesia. 178. A nurse is reinforcing t...

Autonomy - client's right to make own personal decisions, even when those decisions might not be in the client's own best interest Beneficence - positive actions to help others Fidelity - agreement to keep promises Justice - fairness in care delivery and use of resources Nonmaleficence - avoidance of harm or injury Paternalism - assumption that one person can assume responsibility for making the decisions of another person Advocacy - support of clients' health, safety, and personal ri...

Autonomy - client's right to make own personal decisions, even when those decisions might not be in the client's own best interest Beneficence - positive actions to help others Fidelity - agreement to keep promises Justice - fairness in care delivery and use of resources Nonmaleficence - avoidance of harm or injury Paternalism - assumption that one person can assume responsibility for making the decisions of another person Advocacy - support of clients' health, safety, and personal ri...

Autonomy - client's right to make own personal decisions, even when those decisions might not be in the client's own best interest Beneficence - positive actions to help others Fidelity - agreement to keep promises Justice - fairness in care delivery and use of resources Nonmaleficence - avoidance of harm or injury Paternalism - assumption that one person can assume responsibility for making the decisions of another person Advocacy - support of clients' health, safety, and personal ri...

A home health nurse is visiting with an older adult client. Which of the following observations indicate the need for home modification? A) The home has power strips that have breakers. B) The client uses an electric toaster oven for cooking. C) There are two rocking chairs in the living room. D) The bathtub has a seat and a hand-held shower head. - There are two rocking chairs in the living room. Reasoning: rocking chairs and swivel chairs will require a modification. The nurse should blo...

implicit memory type of long term learning that doesn't require conscious thought to learn (memory made without intent) chunk process of grouping info together using prior knowledge (ex. Chess player study) classical conditioning stimulus-stimulus associative learning encoding the pact of putting info into memory habituation response to a stimulus-stimulus decreases with exposure implicit learning acquiring knowledge without intent that we can't easily express incidental learning learni...

HIS implementation benefits to healthcare can improve cost control, increase the timeliness and accuracy of patient care and administration information, increase service capacity, reduce personnel costs and inventory levels, and improve the quality of patient care. Nurse informaticist role in health information system Looks for information, verifies ownership of information and connects other parties within the healthcare organization. Lewin's Change Model unfreezing, changing, refreezing ...

Workflow "a modular sequence of tasks, with a distinct beginning and end, performed for the specific purpose of delivering clinical care" Workflows are specified at up to four levels of detail: 1) clinical workflow, 2) phase, 3) task & action, and 4) sub -action. patient-centric workflows occur when the patient is onsite and interacts with the staff and clinicians. Patient centric workflows begin when the patient enters the office or ward and ends when the patient leaves or is discharg...

project management organizing and directing other people to achieve a planned result within a predetermined schedule and budget. oversight committee clients and key managers who review the progress and direct the project Level of formality or ceremony the rigor of holding formal meetings and producing detailed documentation Agile Project Management a way of balancing flexibility and chaos: how to be agile and flexible while maintaining control of the project schedule, budget, and deliverab...

The integration of health data, computer science, nursing science, and information science to communicate and manage information, data, knowledge, and wisdom within the nursing realm is known as Nursing informatics Nursing informatics is a discipline-specific informatics practice within the broader category of health informatics Which foundational science contributes systematic and logical approaches, processes, and procedures for understanding phenomena and solving problems to the study o...

Staggers & Nelson Life Cycle - order 1.Analysis/Planning 2. Development/Design 3. Implementation 4. Maintenance/Support What describes the maintenance phase of the system development life cycle? The system is upgraded Describe what phase of the system life cycle is the scope of the proposed project identified. Planning What is the next step in the system life cycle after a new health information system has been purchased? Test the system In which ways can the use of clinical decision s...