For example, if a surgical unit averaged 10 surgical site infections annually at an additional average cost of $27,000 each, the total annual cost would be $270,000. A cost-benefit analysis uses average cost of a problem (such as wound infections) and the average cost of intervention to demonstrate savings. Using the average cost of a problem and the cost of intervention to demonstrate savings is:ĭ. Rationale: Taking a deep breath and holding it (or performing the Valsalva maneuver) will prevent air from being pulled back into the pleural space as the tube is removed. When a patient is having a chest tube removed, which of these instructions would be appropriate?ġ) 'Take short quick breaths with your mouth open.'Ĥ) 'Breathe as you normally do.' 2) 'Take a deep breath and hold it.' Health care workers should be familiar with the law in their particular states for these procedures. State governments have legal responsibility for TB control activities, including treatment protocols for nonadherent patients. Patients who are unwilling or unable to adhere to treatment may be required to do so by law or may be quarantined or isolated until noninfectious. It is essential that the patient understand the need to take prescribed TB medications as directed. Rationale: Tuberculosis (TB) is a public health problem that requires reporting of the disease to the health department. A patient who has active pulmonary tuberculosis (TB) states, 'I'm not going to take these TB pills!' Which of these responses by the nurse would be appropriate?ġ) 'You have a legal right to refuse to take this medication.'Ģ) 'You need to sign a Refusal of Treatment Form.'ģ) 'You need to ask your doctor about the possibility of discontinuing the medication.'Ĥ) 'You should know that the health department can require you to take the medication.' 4) 'You should know that the health department can require you to take the medication.'

Rationale: Most states require that health care workers report suspected elder abuse to an official agency, such as Adult Protective Services. Which of these actions should the nurse take?ġ) Have a staff member present during family visits.ģ) Discuss the situation with the family.Ĥ) Ask the patient who is providing his care. He lives with his son and daughter-in-law. During the nursing assessment, multiple bruises are also observed on his body. An 80-year-old male who has mild dementia is readmitted for the third time with multiple pressure ulcers. This usually involves removing the patients and staff from exposure to the fire. Rationale: When a fire occurs in a patient area within the hospital, the nurses' first actions are to protect patients and staff. In the event of a fire in a hospital's dialysis unit, which of these actions should the nurse take first?ģ) Confine the fire by closing all fire doors.Ĥ) Remove patients or staff in danger. Then, further tests are done to confirm the diagnosis and decide on treatment. Rationale: Symptoms of stroke vary greatly and the initial diagnosis is made after a non-contrast CT scan is done to determine if the event was ischemic or hemorrhagic. That's what the tests will help us find out.' That's what the tests will help us find out.'Ĥ) 'I'm going to get you some information to read about strokes and their treatment.' 3) 'Yes, he does have symptoms of a stroke. Let's wait until the test results come back.'Ģ) 'If it is a stroke, your husband is in the right hospital for treatment.'ģ) 'Yes, he does have symptoms of a stroke. A patient's wife is visibly upset and says to the nurse, 'I thought my husband only broke his hip, but the doctor thinks he might have had a stroke.' Which of the following would be an appropriate response by the nurse?ġ) 'It's really too early to be concerned about that. To help the patient regain urinary control, pelvic floor strengthening exercises are recommended.

Rationale: It is not unusual for a patient who has had a prostatectomy, to complain of not having complete bladder control after catheter removal. 3) perform pelvic floor exercises several times daily. What will my wife think about this dribbling?' In addition to acknowledging his feelings, the nurse should encourage the patient toġ) limit oral intake of fluids before bedtime.Ģ) palpate his bladder to check for distention three times a day.ģ) perform pelvic floor exercises several times daily.Ĥ) avoid interrupting the urinary stream during voiding. Haverford says to the nurse, 'I'm so embarrassed.

Haverford is urinating normally, however he is experiencing occasional incontinence with dribbling. After the urinary catheter is removed Mr. Haverford has the planned surgery and immediately postoperatively he has a urinary catheter inserted.

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