Nokea
A nurse is completing a minimum data set. Which area is the nurse working?
- A. Nursing center
- B. Psychiatric facility
- C. Rehabilitation center
- D. Adult day care center
Correct Answer: A
Rationale: Nurses who work in a nursing center (nursing home or nursing facility) are required to complete a minimum data set on each patient. Minimum data set is not needed for psychiatric, rehabilitation, or adult day care centers.
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The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of data, which information will the nurse utilize?
- A. Pew Health Professions Commission
- B. Healthcare Effectiveness Data and Information Set (HEDIS)
- C. American Nurses Credentialing Center (ANCC) Magnet Recognition Program
- D. Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)
Correct Answer: B
Rationale: Health plans throughout the United States rely on the Healthcare Effectiveness Data and Information Set (HEDIS) as a quality measure.
The nurse is preparing to assist with the insertion of an intrauterine pressure catheter and a fetal spiral electrode. What is required for proper placement by the practitioner? Select all that apply.
- A. Rupture of membranes
- B. Dilated cervix
- C. Vertex fetus
- D. Moderate variability
Correct Answer: A
Rationale: Correct Answer: A - Rupture of membranes
Rationale:
1. Rupture of membranes is necessary for the insertion of intrauterine pressure catheter and fetal spiral electrode.
2. It allows safe passage of the catheter and electrode into the uterus.
3. Without ruptured membranes, there is a risk of infection and difficulty in inserting the devices.
Summary:
- Choice B (Dilated cervix) is not required for the insertion of these devices.
- Choice C (Vertex fetus) is not a factor in the insertion process.
- Choice D (Moderate variability) is related to fetal heart rate monitoring, not device insertion.
A woman, contracting every 3 min 60 seconds, suddenly develops an amniotic fluid embolism. Which of the following signs/symptoms would the nurse observe?
- A. Sudden gush of fluid from the vagina.
- B. Intense and unrelenting uterine pain.
- C. Precipitous dilation and expulsion of the fetus.
- D. Chest pain with dyspnea and cyanosis.
Correct Answer: D
Rationale: Amniotic fluid embolism can cause sudden cardiovascular collapse, including chest pain, dyspnea, and cyanosis.
A woman has been diagnosed with chlamydia. The nurse would expect the client to complain of which of the following signs/symptoms?
- A. No signs or symptoms.
- B. Painful lesions on the labia.
- C. Foul-smelling discharge.
- D. Severe lower abdominal pain.
Correct Answer: A
Rationale: Chlamydia is often asymptomatic, but if symptoms occur, they may include discharge or pain.
When should the nurse begin discharge planning?
- A. When the patient is ready
- B. Close to the time of discharge
- C. Upon admission to the hospital
- D. After an order is written/prescribed
Correct Answer: C
Rationale: Discharge planning begins the moment a patient is admitted to a health care facility.