Care Management Project
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WHAT IS ITTHE BASICS
Paint the big picture
INCIDENCE & PREVALENCE
Group/Student (s) Name
NURS106 Care Management Project100 Points
Etiology & Population Prevalence5 POINTS
Addresses general demographics, trends of the population, incidence and prevalence, morbid
Care Management Project
Consider your client and his/her disease process
1. Research the etiology and population prevalence of your patients primary health
condition. (In other words who gets it the most and why?)
a. General de
PREPARE FOR SIMULATION
What is occurring with your patient and why are they
admitted? What is the admitting diagnosis and chief
Whats the back story and history? What co-morbidities
does this patient have? What are some thin
GEMBA Walk and Care Manager Interview
VIDEO: Go to the Gemba (12 minutes)
Visit the Quality and Process Improvement Boards on various units throughout the hospital.
Visit at least 7E, 7W,
Characteristics of blood:
A person has 4 to 6 liters of blood
38% to 48% various blood cells; formed elements
52% to 62% is plasma; the liquid portion of blood
Arterial blood is bright red because it contains high levels of oxygen.
Chapter 48: Male Reproductive Disorders
1. When reviewing the drugs taken by the 50-year-old male patient, the nurse recognizes that
the drug that is most probably causing erectile dysfunction (ED) is the:
1. vasodilator for hypertension.
Chapter 50: Skin Disorders
1. Displaying her hands, a patient asks, Do you think my liver is OK? Look at all these liver
spots! The most appropriate response would be:
1. The spots could mean there is something wrong; I will make a note of
Chapter 49: Sexually Transmitted Infections
MULTIPLE CHOICE 1. The nurse in the out patient clinic notes that the patient has been treated for syphilis three separate times in the last 2 years. The nurse explains that the antibiotic treatment this time wi
Chapter 47: Female Reproductive Disorders
1. The nurse cautions the patient who is taking Danocrine (danazol), an androgenic steroid, for
the treatment of menorrhagia, that she should be prepared for the side effect of:
1. heavier menses.
Chapter 45: Thyroid and Parathyroid Disorders
1. A young woman makes an appointment to see a physician at the clinic. She complains of
tiredness, weight gain, muscle aches and pains, and constipation. The physician will likely
Chapter 43: Amputations
1. The nurse is aware that the patient who is to have his leg amputated is also to have a
prosthesis fitted in the OR at the same time. The preoperative teaching plan will include the
fact that there will be:
Chapter 42: Fractures
1. A patient is 1 day postsurgery for a crushed pelvis. The CNA reports that the patient is
complaining of being short of breath and demonstrating signs of confusion and restlessness.
The nurse suspects from these sig
Chapter 41: Connective Tissue Disorders
1. The nurse explains to a 51-year-old professional tennis instructor who is diagnosed with osteoarthritis that the disease is best understood as the:
1. presence of antibodies in the synovial fluid.
Chapter 37: Hypertension
MULTIPLE CHOICE 1. A patient inquires if his blood pressure is normal. The nurse responds that normal blood pressure is defined as less than: 1. 160/70 mm Hg. 2. 128/60 mm Hg. 3. 139/89 mm Hg. 4. 130/85 mm Hg. ANS: 4 Normal blood
Chapter 36: Vascular Disorders
1. A normal age-related change in older adults that makes them susceptible to cardiovascular
1. increasing cardiac output.
2. an increase in stroke volume.
3. stiff peripheral vessels.
4. oxygen c
Chapter 32: Hematologic Disorders
1. The nurse assesses the abnormal blood value for a young woman as:
1. platelets, 200,000/mm.
2. hemoglobin, 14 g/dL.
3. red blood cells, 2,000,000/mm.
4. iron, 68 g/dL.
The RBCs are low. The norma
Chapter 31: Chronic Respiratory Disorders
1. The nurse assesses wheezes in a patient with asthma and realizes that these breath sounds
1. increased thickness of respiratory secretions.
2. use of accessory muscles of respiratio
Chapter 29: Spinal Cord Injury
1. The nurse explains that the spinal cord extends from the brainstem to the level of which
1. Last thoracic
2. Second lumbar
3. First sacral
The cord starts at the brainstem and
Chapter 33: Immunologic Disorders
MULTIPLE CHOICE 1. The nurse explains that the inflammatory response is initiated by immunoglobulin (IgE) and the: 1. macrophages and eosinophils. 2. macrophage and histamine. 3. monocytes and basophils. 4. neutrophils an
Chapter 28: Cerebrovascular Accident
1. A post-CVA patient who has weakness on the right side and impaired reasoning has had the
CVA in the:
1. left hemisphere of the cerebrum.
2. right hemisphere of the cerebrum.
3. left cerebellum.
Chapter 26: The Patient with an Ostomy
MULTIPLE CHOICE 1. The nurse explains that an artificial opening into a body cavity is a(n): 1. gastrostomy. 2. ostomy. 3. colonoscopy. 4. ureterostomy. ANS: 2 An ostomy is an artificial opening into a body cavity. P
Chapter 35: Cardiac Disorders
1. The nurse performs an apical-radial pulse evaluation, with the result of 100/88. This pulse
deficit assessment is:
To detect an apical radial pulse deficit, the rates shou
Chapter 27: Neurologic Disorders
1. The nurse explains that the neural synapse refers to the:
1. length of time it takes for afferent neurons to carry impulses to the CNS.
2. length of time it takes for efferent neurons to carry impulses t
Chapter 21: Immobility
1. In assessing a patients risk for complications of immobility, the nurse should be aware that
there are several reasons for a person becoming immobile. A therapeutic reason may be:
1. to reduce the workload of the
Chapter 25: The Patient with Cancer
1. Which statement reflects useful information to include in a teaching plan for a cancer patient?
1. Cancer is a group of diseases. The cancer cells are different from the cells in the
tissue of origin