Chapter 31: Nursing Management: Hematologic Problems Test Bank MULTIPLE CHOICE 1. A 62-year old man with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patient’s laboratory findings to include a. a hematocrit (Hct) of 38%. b. an RBC count of 4‚500‚000/µL. c. normal red blood cell (RBC) indices. d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L). ANS: D The patient’s clinical manifestations indicate moderate anemia‚ which is consistent with
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Chapter 50: Nursing Management: Endocrine Problems Test Bank MULTIPLE CHOICE 1. A 45-year-old male patient with suspected acromegaly is seen at the clinic. To assist in making the diagnosis‚ which question should the nurse ask? a. “Have you had a recent head injury?” b. “Do you have to wear larger shoes now?” c. “Is there a family history of acromegaly?” d. “Are you experiencing tremors or anxiety?” ANS: B Acromegaly causes an enlargement of the hands and feet. Head injury and family history are
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Jim (Nursing and Midwifery Council (NMC) 2008). Jim is a 69 year old man‚ attending the pulmonary rehabilitation programme (PRP). He also has chronic obstructive pulmonary disease (COPD) and is prescribed short burst oxygen therapy (SBOT) to alleviate his symptoms. The World Health Organisation (WHO) (2013) defines COPD as a lung disease interfering with air flow to the lungs due to a chronic obstruction therefore; normal breathing pattern is not maintained and the adverse affects of COPD are not
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Chapter 28: Nursing Management: Lower Respiratory Problems Test Bank MULTIPLE CHOICE 1. Following assessment of a patient with pneumonia‚ the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis? a. Weak‚ nonproductive cough effort b. Large amounts of greenish sputum c. Respiratory rate of 28 breaths/minute d. Resting pulse oximetry (SpO2) of 85% ANS: A The weak‚ nonproductive cough indicates that the patient is unable to clear
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Chapter 54: Nursing Management: Female Reproductive Problems Test Bank MULTIPLE CHOICE 1. A 34-year-old woman who is discussing contraceptive options with the nurse says‚ “I want to have children‚ but not for a few years.” Which response by the nurse is appropriate? a. “If you do not become pregnant within the next few years‚ you never will.” b. “You may have more difficulty becoming pregnant after about age 35.” c. “You have many years of fertility left‚ so there is no rush to have children.” d
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Posner describes the common concepts around curriculum to include: · Scope and sequence‚ or a series of intended learning outcomes.‚ with the role of guiding both the instructional and evaluation decisions. · Syllabus‚ or plan for an entire course‚ with elements of both the ends and means of the course. · Content outline‚ which is sufficient only if the sole purpose of education is to transmit specific content. · Textbook‚ or a guide to both the ends and means of education. · Course of study
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Chapter 57: Nursing Management: Acute Intracranial Problems Test Bank MULTIPLE CHOICE 1. Family members of a patient who has a traumatic brain injury ask the nurse about the purpose of the ventriculostomy system being used for intracranial pressure monitoring. Which response by the nurse is best? a. “This type of monitoring system is complex and it is managed by skilled staff.” b. “The monitoring system helps show whether blood flow to the brain is adequate.” c. “The ventriculostomy monitoring system
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The current nursing shortage and high turnover rate among nurses is a great concern‚ not only for health care organizations but also for the general population. The increase in an older population‚ as the “Baby Boomers” approach retirement age will add to this shortage‚ leaving many to wonder who will take care of them in their golden years. Subsequently‚ many of these “Baby Boomers” are nurses themselves and will be retiring‚ adding to the shortage. The Current trend for recent nursing graduates
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Abstract Leadership in nursing is an important role that facilitates the delivery of successful nursing care and patient satisfaction in the medical field. In every work atmosphere‚ there are always leaders and followers. Both contribute to building a safe and effective workplace. The leaders motivate staff members and inspire them to work up to a particular goal‚ while the followers are guided by the nursing leaders. There are a few different leadership styles‚ some good and some bad‚ which
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The nursing shortage impacts the world in a prodigious way. The nursing shortage has an adverse impact on patient care‚ as well as on nurses. The causes of the nursing shortage are multi-faceted and there is no single measure that influences the declining issues. The most concerning issue of the nursing shortage is the decline in patient care‚ and positive outcome (Buchan‚ 2010). The research question in this study is the following: How does the nursing shortage affect quality of patient care
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