Which of the following actions illustrates the CNL professional value of
altruism?
A) Leading an interdisciplinary team looking at the remote cardiac monitoring
process
B) Sponsoring a meeting with the monitor technicians to understand their
barriers in the cardiac monitoring process
C) Fl...
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Ans--
You are a CNL selected to lead a team focused on implementing a
multidisciplinary clinical pathway for acute ischemic stroke & transient ischemic
attack. The risk assessment tool that you have adopted identifies all of the
following as independent stroke risk factors except:
A) Age
B) Systolic BP
C) Liver dysfunction
D) Current smoking
E) Diabetes mellitus
Ans--C) Liver Dysfunction
Rationale: Independent stroke predictors include age, systolic BP, hypertension,
diabetes mellitus, current smoking, established cardiovascular disease (any one
of myocardiac infarction, angina, coronary insufficiency, congestive heart
, failure, or intermittent claudication), Afib, & left ventricular hypertrophy on
ECG.
A lack of compliance with DVT prophylaxis has been identified in retrospective
chart reviews of all ischemic stroke patients in your organization. As a CNL on
the neurological unit, your primary goal will include:
A) Challenging the guidelines on primary prevention of ischemic stroke written
by the American Stroke Association
B) Gaining an understanding of how DVT prophylaxis is initiated on each stroke
patient on your unit
C) Developing an organization-wide educational program on DVT prophylaxis
D) Developing a unit-based team of nursing personnel to investigate the
problem.
Ans--B) Gaining an understanding of how DVT prophylaxis is initiated on each
stroke patient on your unit.
Rationale:
White Paper: One competency is that of a systems analyst. A CNL participates
in a system review & conducts a microsystem analysis, identifying a clinical issue
with a focus on a particular population.
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