Author Question: A labor and delivery nurse notifies the physician several times about the deterioration of fetal ... (Read 27 times)

Pineapplelove6 · **on:** Jun 27, 2018

A labor and delivery nurse notifies the physician several times about the deterioration of fetal status as noted by frequent late fetal heart-rate decelerations during contractions. The physician fails to come to the hospital to examine the client.

What should the nurse do? a. Continue to call the doctor about the client's condition.
b. Ask a more experienced nurse to review the fetal heart monitor strip.
c. Request another physician to see the client.
d. Activate the chain of command for the institution.

Question 2

Cost-effectiveness models focus on the

a. elimination of all nonessential health care services
b. use of less expensive technology
c. selection of procedures that have the best outcome at the lowest cost
d. comparison of the low and high costs of health services

cuttiesgirl16 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
In the case of non-resolution of a client care issue, the nurse should activate the facility's chain of command, which is the best action to take to accomplish resolution for the client. Continuing to call the physician may only further delay needed care. Collaborating with a more experienced nurse does not address the fact that the client needs medical care outside the scope of RN nursing practice. Requesting another physician does not address the more important concept of nursing responsibilities.

Answer to Question 2

C
Cost effectiveness and cost containment refer to the reduction of expenses by working more efficiently to achieve the best outcomes at the lowest cost. Cost effectiveness involves choosing the procedures that have the best outcomes at the lowest cost, not necessarily the use of less expensive technology. Comparison of the low and high costs of health services is the data collection necessary for the development of cost effectiveness.