External link to Safely Managing Medication Orders During Bedside Rounds

Safely Managing Medication Orders During Bedside Rounds

QUESTION The nurse accompanies the health care provider during bedside rounds . After discussion of a client’s progress , the health care provider reports to the nurse , ” Let’s increase the metoprolol to 50 mg daily . ” Which action does the nurse take ? 1. Places the prescription into the electronic medical record as a telephone read – back order . 2. Places […]

External link to Enhancing Patient Experience and Safety in Smart Hospital Rooms

Enhancing Patient Experience and Safety in Smart Hospital Rooms

QUESTION You are admitting a patient to your unit. All rooms have the most up-to-date technology and are considered “smart rooms.” How would you describe a smart room to this patient and their family? 2. Identify at least 3 technology tools you feel will most improve patient outcomes in this smart room and why? 3. Risky Behaviors (work arounds or cutting corners) can lead to […]

External link to Navigating Unplanned Pregnancy: The Complexity of Decision-Making

Navigating Unplanned Pregnancy: The Complexity of Decision-Making

QUESTION Women who experience an unplanned pregnancy must face a difficult decision. They may decide to terminate the pregnancy, to carry the fetus to term and keep the child, or to carry the fetus to term and have the child adopted. Decisions regarding an unwanted pregnancy are private, personal and difficult. The reasons for seeking an abortion are often complex, interrelated, and multi-faceted. ANSWER Navigating […]

External link to Collaborative Care for End-Stage Renal Disease (ESRD) Patients: The Role of the Interdisciplinary Team

Collaborative Care for End-Stage Renal Disease (ESRD) Patients: The Role of the Interdisciplinary Team

QUESTION A client admitted to the unit with a diagnosis of end-stage renal disease is scheduled to undergo hemodialysis. The client voices anxiety over shunt placement and management of care at home. A nurse initiates a referral to which members of the interdisciplinary team? ANSWER Collaborative Care for End-Stage Renal Disease (ESRD) Patients: The Role of the Interdisciplinary Team Introduction A client admitted with a […]

External link to Assessing the Impact of AIDS on Occupational History and Setting Outcomes for Evie

Assessing the Impact of AIDS on Occupational History and Setting Outcomes for Evie

QUESTION Evie is a 29-year-old intravenous drug user diagnosed with AIDS. Evie requests evening appointments so that she can keep everything a secret from her employer who thinks she was hospitalized for acute pneumonia and has fully recovered. What would you look for in Evie’s records to determine how AIDS is having an impact on her occupational history? In setting out- comes with Evie, what […]

External link to Understanding Conditions Leading to Deficient Oxygen in the Blood

Understanding Conditions Leading to Deficient Oxygen in the Blood

QUESTION The client has a reduction of air entering the alveoli which is causing deficient oxygen in the blood.​ Which terms accurately describe the client’s condition(s)? Select all that apply. Pneumoconiosis Hypoxemia Hypoventilation Bronchiectasis Pleuritis ANSWER Understanding Conditions Leading to Deficient Oxygen in the Blood Introduction A reduction of air entering the alveoli, resulting in deficient oxygen in the blood, is a critical concern that […]

External link to Resolving Nursing Conflict: Choosing the Collaborative Approach

Resolving Nursing Conflict: Choosing the Collaborative Approach

QUESTION Jill and Neil are both nurses working the same shift. Jill is responsible for patients in rooms 1-6 and Neil is responsible for patients in rooms 7-12. Over the course of their shift, both nurses routinely visit their patients’ rooms to take vitals and deliver medication. On one of his rounds, Neil attends to his patient in room 8. He reads the chart and […]

External link to Concerns Surrounding Stroke Certification Loss at Indiana University Health Bloomington Hospital

Concerns Surrounding Stroke Certification Loss at Indiana University Health Bloomington Hospital

QUESTION The recent loss of a highly regarded stroke certification at Indiana University Health Bloomington Hospital raises significant concerns about the institution’s reputation and its ability to provide appropriate patient care. ANSWER Concerns Surrounding Stroke Certification Loss at Indiana University Health Bloomington Hospital Introduction The recent loss of a highly regarded stroke certification at Indiana University Health Bloomington Hospital has raised significant concerns within the […]

External link to Promoting Restful Sleep in Elderly Patients: Nursing Interventions and Recommendations

Promoting Restful Sleep in Elderly Patients: Nursing Interventions and Recommendations

QUESTION The nurse is caring for an elderly patient in the hospital who complains that he wakes up several times during the night. What instructions should the nurse provide to the patient to address their concern? awakenings during the night commonly occur as you get older frequent wakening is common for people who get admitted to the hospital and you will go back to your […]

External link to Comprehensive Care for an Elderly Hip Fracture Patient: A Case Study

Comprehensive Care for an Elderly Hip Fracture Patient: A Case Study

QUESTION Ellie was an 85-year-old resident who was returning to the nursing home on 11/5/18 from the hospital following a left hip replacement due to a hip fracture done. Prior to her fall, Ellie had been a resident of the nursing home only a week when she sustained the fracture. She has a history of congestive heart failure with frequent exacerbations that included fluid retention. […]

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