Which of the following organizations focus on quality and strength of nursing care provided by hospitals?
a. The Joint Commission b. Magnet Recognition c. American Nursing Association d. State Board of Nursing Correct Answer: b. Magnet Recognition. This recognition by the American Credentialing Center is awarded to hospitals that satisfy a set of criteria designed to measure the strength and quality of their nursing staff.
A 45-year-old patient is recently diagnosed with hypertension and requires pharmacologic intervention. Medical history includes diabetes, COPD, and hypercholesterolemia. Which class of medications would the nurse question as a treatment for the patient?
a. thiazide diuretics b. non-selective beta blockers c. calcium channel blockers d, angiotensin-converting-enzyme inhibitors Correct Answer: b. non-selective beta blockers. Non-selective beta blockers inhibit both beta 1 & 2 receptors. Patients with constrictive respiratory disorders should not take medications that can inhibit beta 2 receptors due to the risk of bronchoconstriction.
An 85 year- old hospitalized patient has orders to start intravenous fluids. What is the nurses first priority?
a. Review labs values b. Auscultate lungs bilaterally c. Apply tourniquet 2" below the antecubital space d. Gather supplies needed to insert intravenous catheter Correct Answer: B - Auscultate the lungs bilaterally. Assessment is a priority over intervention. Due to an advanced age, assessment of lungs is required to determine risk for fluid volume overload.