Which information by a nurse indicates more teaching is needed ...

[tsand2]

Which information by a nurse indicates more teaching is needed about The Joint Commission's requirements for writing plans of care?
 
  a. A care plan must be developed for pa-tients in a clinic.
  b. A care plan must be developed for pa-tients in an acute care hospital.
  c. A care plan must be developed for pa-tients in a rehabilitation agency.
  d. A care plan must be developed for pa-tients in an extended care facility.

Question 2

The nurse is assessing an older adult who has smoked for the past 47 years and has been diagnosed with chronic obstructive pulmonary disease. Which of the following would the nurse expect to see upon physical examination of the patient?
 
  a. Pallor and hardening of the nail bed
  b. Jaundice in the nail bed
  c. An angle greater than 160 degrees be-tween the nail and nail bed
  d. An angle less than 160 degrees between the nail and nail bed

[missalyssa26]

Answer to Question 1

A
The question indicates the nurse needs more teaching and The Joint Commission does not require a care plan for clinic patients. The Joint Commission standards require that a care plan, also called a plan of care, be developed for all patients on admission to acute, subacute, rehabilitation, or extended care agencies.

Answer to Question 2

C
Inspection of the angle between the nail and nail bed normally reveals an angle of 160 degrees. A larger angle and softening of the nail bed indicate chronic oxygenation problems. An ongoing bluish or purplish cast to the nail bed occurs with cyanosis. A white cast or pallor results from anemia. Observe for jaundice (yellow-orange), which indicates liver disease.