Facilitating the use of cost effective care measuresduring hospitalization and ensuring a timely dischargeare consistent with the goals of the case manager.
A client who is postoperative has ahemoglobin of 8.0 g/dL. The nursedelegates the administration of a unit ofpacked red blood cells for this client to anurse floating from a psychiatric unit. Whichof the following nursing actions isappropriate for the nurse to take at thistime?Decline to hang the blood - This is appropriate because the nurse should perform onlytasks that she has been oriented to perform and that she hascurrent information on, regarding policy and procedure. It isunlikely that a float nurse from a psychiatric unit would befamiliar with current policy regarding blood administration, andthis nurse may have limited experience with this procedure.Therefore, the practical nurse should respectfully decline to hangthe blood.A client with a history of severe multiplesclerosis (MS) has filled out a living willand has asked the nurse to witness it.Which of the following would be anappropriate response by the nurse?"I would be glad to witness your signature on the living will." A nurse is permitted to witness a client's signature on a livingwill. The form usually requires two signatures, so the nurse mustknow the regulations of the state in which she practices Other - Having a medical professional as a witness is not requirementDischarge instructions about calcium supplements to older adultfemale who has osteoporosis and recent repair of fracture inright hip. Which instructions should nurse include? a. you should take your calcium supplement with large glass ofwater b. you should increase your intake of grain cereals while takingcalcium supplements c. you should take at least 2600 mg calcium supplements daily d. you will not need to take vitamin D with your calciumsupplement after menopausea. you should take your calciumsupplement with large glass of waterA facility has been notified of a trainderailment resulting in multiple clientsexperiencing life-threatening injuries. Theexternal disaster plan has beenactivated. Which of the following is anappropriate action of the charge nurseon the PACU?Identify stable clients for transfer to a surgicalunit. - It is within the charge nurse's range of functionto identify stable clients for discharge to asurgical unit. This action will facilitate the facility'sability to do the most good for the greatestnumber of clients.A facility has identified an increase inhealth care-associated urinary tractinfections (UTIs) on the medical-surgicalunit. A nurse is participating in a qualityimprovement process to address thisproblem. Which of the following shouldbe the first step in the process?
You've reached the end of your free preview.
Want to read all 44 pages?
- Winter '16
- Nursing, AP, d., c., charge nurse