Question: 1. You Are A Nurse Admitting A Patient To The Hospital From The Emergency Department (ED) With Shortness Of Breath And Recent Weight Loss. After Receiving A Report From The ED Nurse, You Ready The Patient’s Room According To Unit Specifications And Collect The Necessary Equipment And Forms. When The Patient Arrives, She Is Using Oxygen Via A Nasal Cannula …

1. You are a nurse admitting a patient to the hospital from the emergency department (ED) with shortness of breath and recent weight loss. After receiving a report from the ED nurse, you ready the patient’s room according to unit specifications and collect the necessary equipment and forms. When the patient arrives, she is using oxygen via a nasal cannula and seems to be comfortable. As you begin your admission activities and paperwork, you note that her shortness of breath slightly increases as she answers your questions. Accompanying the patient is her daughter, who comments, “This is the fourth time she’s been admitted to this hospital in the past year.” The patient and her daughter demonstrate a close, loving relationship. The daughter not only encourages her mother, but also sets boundaries regarding her mother’s anxiety. How would you evaluate the patient’s achievement of cognitive, affective, and physiologic outcomes? Describe factors that could derail the attainment of expected patient outcomes. List common plan of care problems encountered during evaluation and how you might respond. 2 You are a nurse preparing to receive a new patient, fresh from surgery, to your unit. The patient is a 71-year-old man who underwent a surgical repair of a fractured femur. As you receive a report from the postanesthesia recovery unit, you learn that his medical history includes hypertension, 40 pack- years of smoking, and COPD. His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. He is widowed, and his three children are scattered throughout the United States. He lives alone, receives Meals on Wheels, and pays a cleaning service to keep his home clean. What general outcomes would you expect to establish from this information? 6. List potential plan of care revisions available to nurses. To effect performance improvement in nursing, what steps are necessary in the process? 4. Health care facilities and organizations implement programs to promote excellence in nursing that are called quality assurance programs. How do these programs work? 1. A nurse is a preceptor for a nurse who just graduated from nursing school. When caring for a patient, the new graduate nurse begins to explain to the patient the purpose of completing a physical assessment. Which statement made by the new graduate nurse requires the preceptor to intervene? a. “I will use the information from my assessment to figure out if your antihypertensive medication is working effectively.” b. “Nursing assessment data are used only to provide information about the effectiveness of your medical care.” C. “Nurses use data from their patient’s physical assessment to determine a patient’s educational needs.” d “Information gained from physical assessment helps nurses better understand their patients’ emotional needs