A nurse is working in a clinic with an emphasis on cost control, ...

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A nurse is working in a clinic with an emphasis on cost control, customer satisfaction, health promotion, and preventive services. This represents which type of system?
 
  1. Managed care
   2. Case management
   3. Differentiated practice
   4. Client-focused care

Question 2

The nurse caring for a client recovering from an abdominal hysterectomy suspects the client is experiencing a pulmonary emboli when which of the following is found?
 
  1. Decrease urine output
   2. Dyspnea and shortness of breath
   3. Activity intolerance
   4. Nausea

[aadams68]

Answer to Question 1

1. Managed care

Rationale:
Managed care describes a health care system that emphasizes cost-effective, quality care that focuses on decreased costs and improved outcomes for groups of clients. Case management describes a range of models for integrating health care services for individuals or groups. Differentiated practice is a system in which nursing personnel are assigned to the most suitable tasks based on their educational preparation and resultant skill sets. Patient-focused care is a delivery model that brings all services and care providers to the client.

Answer to Question 2

2. Dyspnea and shortness of breath

Rationale:
Manifestations of pulmonary emboli include dyspnea, shortness of breath, pleuritic chest pain, anxiety, apprehension, cough, tachycardia, tachypnea, crackles, and a low-grade fever. Decreased urine output, activity intolerance and nausea are not clinical manifestations of a pulmonary embolism.

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