The census taken at midnight on August 1 showed 99 patients…
The census taken at midnight on August 1 showed 99 patients remaining in the hospital. On August 2, four patients were admitted, there was one fetal death, one DOA, and seven patients were discharged. One of these patients was admitted in the morning and remained only 8 hours. How many inpatient service days were rendered on August 2?
Read DetailsA pharmacist at your facility was caught running a drug ring…
A pharmacist at your facility was caught running a drug ring. The pharmacist filled orders of valuable medications with cheap outdated ones purchased on the Internet and then sold the good drugs for profit. Patients have been injured and the lawsuits are starting. Unfortunately, your facility is going to be held responsible for the pharmacist’s negligent acts under the doctrine of
Read DetailsIn preparation for conversion to a computerized patient reco…
In preparation for conversion to a computerized patient record, a committee at your facility is defining each of the data elements in a patient record to determine which elements should be required and to set parameters for each element. The committee is working on the data
Read DetailsParker has type 1 diabetes with hypertension that is current…
Parker has type 1 diabetes with hypertension that is currently controlled with medication. Parker was admitted through the ED for an emergency appendectomy. Following surgery, the patient developed an infection at the wound site that was treated with antibiotics. Parker’s principal diagnosis is the
Read DetailsA client newly diagnosed with diabetes is learning to admini…
A client newly diagnosed with diabetes is learning to administer insulin. They received 10 units of NPH and 12 units regular insulin each morning. Which of the following statements reflects the client’s understanding of the education?
Read DetailsEHR Continued: NURSING ASSESSMENT & NOTES 2/10 1540 Nursin…
EHR Continued: NURSING ASSESSMENT & NOTES 2/10 1540 Nursing Note: Client arrives for scheduled NST. Client is G1P0 at 37 weeks gestation. She is a single mom. She conceived through intrauterine insemination with donor sperm. EFM and toco applied. FHR: 132. Client states she has had a “nagging” headache since this morning and has been “struggling” with heartburn since yesterday. Blood pressure 162/100 mm Hg. Repeat blood pressure 164/100 mm Hg. Urine dipped for protein, 3+. 2/10 1540 Neuro/Cognitive: A/Ox3. Speech even and clear. Pupils 3 mm PERRLA. Denies any visual changes or disturbances. DTRs 3+, negative clonus. Respiratory: Lung sounds clear bilaterally, breathing unlabored. Cardiovascular: Apical pulse 77, regular, S1 & S2 sounds present. Peripheral Vascular: Skin pink, warm, and dry. +2 pitting edema in left and right lower extremities. Gastrointestinal: Abdomen distended consistent with pregnancy. States she had a bowel movement today. Bowel sounds x 4 quadrants. Last bowel movement yesterday. Genitourinary: Voided 150 mL dark, clear yellow urine. +Proteinuria. Pain: Headache started in morning rates 3/10, describes as nagging. Heartburn rated 3/10, describes as burning, gnawing sensation. 2/10 1630 Nursing Note: Sterile vaginal exam completed. Client is 3 cm dilated, 50% effaced, -2 station. Cervical consistency is medium. Cervix is at misposition. VITAL SIGN TREND Date Temp HR RR BP SpO2 O2 2/10 1535 98.1 °F(36.7 °C) 78 16 162/100 100% RA 2/10 1550 98.1 °F(36.7 °C) 84 18 168/100 100% RA 2/10 1600 deferred 78 18 166/100 99% RA Fetal heart monitor Date FHR Notes 2/10 1535 132 EFM applied 2/10 1555 134 Minimal variability, no decelerations. No contractions noted. Provider 2/10 1600 Prescriptions: Intermittent fetal heart monitoring and contraction monitoring every four hours and continuous once oxytocin started. IV Lactated Ringers 1,000 mL at 125 mL/hour. Initiate Preeclampsia protocols. Labetalol 20 mg IV If severe hypertension persists at 10 minutes, administer 40 mg IV. If severe hypertension persists at 20 minutes, administer 80 mg IV. If severe hypertension persists at 30 minutes, administer another 80 mg IV. If severe hypertension persists at 40 minutes, administer another 80 mg IV. Maximum cumulative dose 300 mg/24 hours: hold if heart rate
Read DetailsA financial planner believes his clients received a larger t…
A financial planner believes his clients received a larger tax refund on their 2023 tax returns than on their 2022 tax returns, on average. The financial planner randomly selects 60 of his clients. Each person provides the amount received from both their 2022 and 2023 tax refund. (Money owed was recorded as a negative.) Which one of the significance tests given below should be used?
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