A client feels that the nurse does not enter the room often ...

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A client feels that the nurse does not enter the room often enough and asks the nurse why there are so many clients on the nurse's assignment list. The best response by the nurse is:
 
  1. Most of the clients do not require much care..
   2. The hospital has cut staff, but I manage to get the work done..
   3. I do have to take short cuts every now and then..
   4. There are insufficient health care workers to meet the need right now..

Question 2

Which of the following assessment findings would suggest to the nurse that a client is at risk for alterations in perfusion?
 
  1. Blood pressure 110/68 mmHg
   2. Apical heart rate 80; radial beats per minute 68
   3. Respiratory rate 20 per minute
   4. Temperature 98.8F

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Answer to Question 1

4. There are insufficient health care workers to meet the need right now..

Rationale:
At the current time in the U.S., there are not enough health care providers to meet the health care needs. As more care is delivered in other settings to decrease costs, clients who are hospitalized are generally in poorer health than in the past. Many nurses are not able to deliver the type of care needed for these sicker clients. Hospitals are revamping health care delivery models to meet the care of the clients. Some nurses may indeed have to take short cuts, but it would be inappropriate to mention that to the client.

Answer to Question 2

2. Apical heart rate 80; radial beats per minute 68

Rationale:
The number of radial beats per minute is 12 beats slower than the apical rate of 80 per minute. This indicates weak contractions of the left ventricle and could lead to alterations in perfusion. The other assessment findings are within normal limits.