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crage crage
wrote...
Posts: 512
Rep: 1 0
6 years ago
The nurse is instructing a patient on the role of diet, exercise, and medication to control type 2 diabetes mellitus. Which core competency for healthcare professionals is the nurse implementing?
 
  1. Quality improvement
  2. Evidence-based practice
  3. Patient-centered care
  4. Teamwork and collaboration

Question 2

Evidence-based guidelines for the treatment of septic shock include which of the following? (Select all that apply.)
 
  a. Fluid resuscitation to maintain central venous pressure at 8 mm Hg or greater
  b. Low-dose dopamine for renal protection
  c. High-dose corticosteroids
  d. Administration of activated protein C
  e. Achieve central venous oxygen saturation of 70 or more

Question 3

Decreased urine osmolality is a sign of
 
  a. hyperglycemia.
  b. diabetes insipidus.
  c. thyroid crisis.
  d. SIADH.

Question 4

Which of the following historical findings would indicate a high risk for latex allergy? (Select all that apply.)
 
  a. Allergic reaction to anesthetics
  b. Eczema of the hands
  c. Congenital urologic disorder
  d. Asthma
  e. Health care worker

Question 5

The key to treatment of septic shock is finding the cause of the infection. Which of the following cultures are obtained before antibiotic therapy is initiated? (Select all that apply.)

Question 6

The diagnosis of SIADH is made when which of the following conditions is present?
 
  a. Decreased ADH level and hyperkalemia
  b. Decreased ADH level and hypernatremia
  c. Increased ADH level and serum ketones
  d. Increased ADH level and low serum osmolality
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 3

In 2003, the National Academy of Sciences proposed a set of five core competencies that all healthcare professionals should possess to meet the needs of the 21st century. The nurse instructing the patient is an example of the competency patient-centered care. Identifying safety hazards and measuring quality are examples of the core competency quality improvement. Using best research when providing patient care is an example of the core competency evidence-based practice. Collaboration between disciplines to provide continuous and reliable care is an example of the core competency teamwork and collaboration.

The answer to question 2

A, D, E
There is no evidence to support the use of dopamine; low-dose steroids are part of the sepsis management bundle.

The answer to question 3

B
Decreased urine osmolality is a sign of DI.

The answer to question 4

A, B, C, E
Prevention of anaphylactic shock is one of the primary responsibilities of nurses in critical care areas. Preventive measures include the identification of patients at risk and cautious assessment of each patient's response to the administration of medications, blood, and blood products. A complete and accurate history of each patient's allergies is an essential component of preventive nursing care. In addition to a list of the allergies, a detailed description of the type of response for each one should be obtained.

The answer to question 5

Thanks for your help Worked like a charm.

The answer to question 6

D
SIADH occurs when there are increased levels of ADH in the blood compared with a low serum osmolality.
crage Author
wrote...
6 years ago
Thanks for your help!
wrote...
6 years ago
You're welcome Slight Smile
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