Tiêu đề RECALLS 2 - NP4 - SC ✅

3. Taking economic risks as a health care provider. 4. Providing adequate or appropriate care minimize risk of expensive utilization. A. 1 and 2 B. 3 and 4 C. 1 and 4 D. 2 and 3 12. Which of the following statement is TRUE regarding health care economics? A. Contemporary health care is characterized as a business struggling to balance cost and quality. B. Profit in health care is synonymous with billing privileges. C. Health care economics is a new concept in nursing. D. Health care is becoming affordable and clients are demanding quality care. 13. You understand that a key factor that influence client care is the cost involved in the delivery of health services. Which of the following resources is NOT required to support the services delivered by nurses? A. Time B. Client’s environment C. People D. Equipment 14. You are aware that there is a need for you to understand how to manage the cost of client care as it relates to clinical practice. Which of the following are nurses accountable for? A. Decision regarding cost effective practices. B. The Client’s hospital charges C. Distribution and consumption of resources such as time, supplies, drugs, staff and personnel. D. Financial viability of nursing department. 15. While touring the department where you are assigned, you noticed that the supply room is stacked with medical supplies and equipment. Which of the following is the BEST action you will take? A. Create a task force to assess the situation and report the findings. B. Take an inventory of the supplies and equipment. C. Request maintenance to sort out the supplies and check the medical equipment to determine if they are still functional. D. Call for a staff meeting and discuss how best to utilize the available resources. Situation 4 – A 34 year old female client complains of experiencing double vision and frequent headaches. The client claims to be forgetful and has mood swings. A diagnosis of right frontal lobe lesion was made and the client was admitted for craniotomy. 16. The client claims to have a diagnostics work up in the outpatient unit before she was admitted. The admitting nurse prepares the client for which of the procedure that will MOST likely confirm the presence of brain tumor? A. Myelogram B. CT Scan C. Lumbar puncture D. Skull x-ray 17. While the client is being interviewed, she had a seizure. The initial intervention of the nurse must be directed towards: A. Protecting the client B. Controlling the Seizure C. Reducing circulation to the brain D. Restraining the client 18. After surgery, it is important for the nurse to position the head of the client properly to: A. Facilitate venous drainage B. Prevent hemorrhage on the suture line. C. Provide for client comfort D. Maintain patent airway 19. The Nurse is aware that one of the measures listed below is contraindicated in post-operative pulmonary toilet. A. Suctioning B. Deep Breathing C. Turning D. Coughing 20. The surgeon orders glucocorticoid Dexamethasone (Decadron) to be given following craniotomy. The nurse recognizes that this drug: A. Creates a feeling of euphoria, which is beneficial in the early post-operative period. B. Promotes excretion of water which aids in reducing ICP. C. Enhances venous return and thus reduce ICP D. Reduces cerebral edema thus reducing ICP. Situation 5 – A Nurse in the intensive care unit attends to a 20 – year old female who was involved in a vehicular accident three days prior to admission. The prognosis is very poor. No brain activity was detected after two electroencephalograms (EEGs) were taken. 21. The family decides to wean the patient from the ventilator support. The family talks to the nurse about their decision to get the nurses’ support. Which of the following actions is NOT appropriate? The Nurse ___________. a. Checks the physician’s orders for sedation and analgesia and make sure that the anticipated death is comfortable and dignified. b. Explains to the family what will happen each phase of the weaning and offer support. c. Tells the family that death will occur almost immediately after the patient is removed from the ventilator support. d. Participates in the decision-making process by offering the family information 22. Two hours after the ventilator support was discontinued, the patient dies. The nurse discusses with the family the possibility of donating the deceased person’s organs. The following are guidelines in organ or tissue donation. 1. Religious beliefs in organ donation and transplantation must be respected. 2. Donors must be free of infectious disease and cancer. 3. Consent or written orders by the physician are necessary for referral to an organ procurement organization. 4. The family of the deceased should be offered an opportunity to speak with a knowledge organ procurement coordinator. 5. The person requesting for organ donation does not have to believe in the benefits of organ donation but should support the process with a positive attitude. Which of the guidelines should the nurse observe? A. 1, 2, 3, 4, 5 B. 1, 2, 4 C. 2, 3, 4 D. 1, 3, 5 23. The legal definition of death that facilitate organ donation is the cessation of ________ : A. Function of the entire brain B. Pulse C. Circulatory and respiratory functions D. Respiration 24. The patient is pronounced dead by the physician. Which of the following nursing actions VIOLATES the standards of care for a dead person? A. Removing soiled dressing and tubes. B. Keeping the dead person in a sitting position until the family has arrived and said their goodbyes. C. Placing identification tags on both the shroud and ankle. D. Preparing to transfer the body to the morgue. 25. The family goes through the stages of grieving. What are the stages in the grieving process? 1. Acceptance 2. Depression 3. Denial 4. Bargaining 5. Anger A. 3, 5, 1, 4, 2 B. 3, 5, 4, 2, 1 C. 1, 5, 3, 4, 2 D. 1, 2, 5, 4, 3 Situation 6- A male teenager was wheeled in the Emergency Department (ED) for injured. 26. The nurse assesses the patient for complications. Which are the MOST COMMON complications? 2 | Page