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Author Question: A registered nurse works as a case manager in the local hospital. What primary role will the nurse ... (Read 75 times)

casperchen82

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A registered nurse works as a case manager in the local hospital. What primary role will the nurse be fulfilling?
 
  a. Coordinating care for patients with a spe-cific condition
  b. Only working with primary health care providers
  c. Directing care of all patients in the hospit-al setting
  d. Providing direct care to specific patients

Question 2

A 7-year-old patient was admitted to the hospital with a high fever. The nurse caring for the child knows that the child has increased insensible water loss resulting from the fever and should receive additional water to prevent hypernatremia.
 
  Insensible water loss occurs through which organ? a. Kidneys
  b. GI tract
  c. Skin
  d. Stomach



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carojassy25

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Answer to Question 1

A
What is unique about case management is that clinicians, either as individuals or as part of a col-laborative group, oversee the management of patients with specific case types, focusing on length of stay and improving clinical outcomes (e.g., patients with specific diagnoses presenting complex nursing and medical problems such as heart failure or diabetes). Case managers work with social services, dietitians, and physical therapists to name a few. Case managers do not care for all patients, just a specific case type. Case managers do not provide direct care. Instead they collaborate with and supervise the care that other staff members deliver.

Answer to Question 2

C
Fluid output normally occurs through four organs: the skin, lungs, GI tract, and kidneys Insensi-ble water loss is not visible; it is continuous and occurs through the skin and lungs. Output of insensible water also increases with fever. Visible perspiration (sweat) is secreted by the sweat glands. The GI tract plays a vital role in fluid balance. Approximately 3 to 6 L of fluid move into the GI tract daily and return again to the ECF. However, diarrhea causes a large fluid output from the GI tract. The kidneys are the major regulator of fluid output because they respond to hormones that influence urine production. When healthy people drink more water, they make a larger urine volume to maintain fluid balance. In patient situations, fluid loss occurs abnormally, such as through vomiting (stomach), wound drainage, and hemorrhage.





 

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