Author Question: A nurse began working at a local hospital and learned that the hospital had just instituted a ... (Read 84 times)

cmoore54 · **on:** Jul 22, 2018

A nurse began working at a local hospital and learned that the hospital had just instituted a hand-off protocol. What will the nurse be doing?

a. Performing transfer reports
b. Completing IV fluid flow sheets
c. Using standardized care plans
d. Reviewing laboratory reports

Question 2

A woman went to the public health clinic with a fever that had persisted for several days. Upon palpation of the neck, a registered nurse found several large lymph nodes.

What is the nurse's best response to this patient upon palpating her lymph nodes? a. There is no need to worry; enlarged lymph nodes are normal findings.
b. Lymph nodes are not really significant because they really have no function.
c. Most people have a few enlarged lymph nodes.
d. Enlarged lymph nodes sometimes indi-cate an infection.

essyface1 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Examples of hand-off reports include change-of-shift reports and transfer reports. A hand-off report occurs any time one health care provider transfers care of a patient to another health care provider. The purpose of hand-off reports is to provide better continuity and individualized care for patients. Flow sheets are part of the permanent health record and provide a quick and easy reference for assessing changes in a patient's status. Standardized care plans, based on institution standards of nursing practice, are preprinted established guidelines of care for patients with sim-ilar health problems. The laboratory submits a written report providing the results of diagnostic tests.

Answer to Question 2

D
Lymph nodes that are large, fixed, inflamed, or tender indicate a problem such as local infection, systemic disease, or neoplasm. Enlarged lymph nodes are not normal. Normally lymph nodes are not easily palpable. An extensive system of lymph nodes collects lymph from the head, ears, nose, cheeks, and lips.