The nurse identifies the following assessment findings for an ...

[09madisonrousseau09]

The nurse identifies the following assessment findings for an African American client with preeclampsia: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 11 on dipstick; and edema of the hands, ankles, and
 
  feet. On the next hourly assessment, which of the following new assessment findings would be an indication of worsening of the preeclampsia? 1. Blood pressure 158/100
   2. Urinary output 20 mL/hour
   3. Reflexes 21
   4. Platelet count 150,000

Question 2

The director of the nursing department at a hospital is interested in assisting the nurses to comply with Amercian Nurses Association (ANA) nursing research standards. The director plans to establish:
 
  1. A peer review committee to determine nursing performance reviews.
   2. A council for determining nursing educational needs.
   3. A quality improvement program.
   4. A council that examines current nursing practice..

[xMRAZ]

Answer to Question 1

2. Urinary output 20 mL/hour

Rationale:
The decrease in urine output is an indication of decrease in glomerular filtration rate, which indicates a loss of renal perfusion. The assessment finding most abnormal and life-threatening is the urine output change. The blood pressure increase is not significant. The reflexes are normal at 21. The platelet count is normal, though it is at the lower end.

Answer to Question 2

4. A council that examines current nursing practice.

Rationale:
A nursing practice council compares current practice against nursing research to determine the best evidence-based practice for the hospital as suggested by ANA standards. A peer review committee establishes standards to determine the performance of staff. A council to determine educational needs fits in with the quality improvement. It would review errors reported and suggest educational programs as well as asking the staff for their educational preferences. A quality improvement program monitors client care based on outcomes and also investigates errors and makes suggestions for prevention.

[09madisonrousseau09]

Excellent

[milbourne11]

TYSM