Category: Management

A primary care provider may suspect cataract formation in a patient with which finding?
Asymmetric red reflex
Corneal pacification
Excessive tearing
Injection of conjunctiva

A case manager is reviewing the records of the clients in the nursing unit. Which occurrence, if noted in a client’s record, would the nurse-identify as a positive variance?

A client is to be transferred from the bed to a chair and assisted to walk. The best footwear for him is:
A) Socks
B) Soft slippers
C) Open toed shoes
D) Firm soled shoes

A seize of 852 capsules containing benzodiasepines is taken to the laboratory for analysis. Describe a brief statistical sampling scheme for benzodiazepines in capsule form
Suggested statistical sampling scheme
Define population and objective.
Population size: N = 852 capsules.
Objective: presence/absence screening and, if present, quantitative content uniformity/assay.
Determine sample size.
For a quantitative estimate of prevalence or mean content with a desired confidence level, use the standard sample-size formula with finite-population correction:
n0 = (Z^2 * p * (1 – p)) / E^2
n = n0 / (1 + (n0 – 1) / N)
Example (conservative p = 0.5, 95% confidence Z = 1.96, margin E = 0.05): n0 ≈ 384, n ≈ 265 for N = 852.
For rapid presence/absence screening a much smaller sample (e.g., 20–30 capsules) can be used; for formal content-uniformity testing follow applicable pharmacopeial or regulatory sampling sizes (often larger and specified by method).
Choose a selection method.
Simple random sampling: assign each capsule a unique number 1…852 and select n numbers using a random number generator without replacement.
Alternatively, systematic sampling: compute k = floor(N / n), pick a random start between 1 and k, then select every k-th capsule. This is acceptable if capsules are not ordered by composition.
Lab handling and analysis plan.
Record chain of custody and label each sampled capsule uniquely.
For each selected capsule record weight and visual inspection, then open and prepare aliquots for:
Screening (e.g., immunoassay or presumptive test) and
Confirmatory quantitative analysis (e.g., GC-MS/LC-MS) using validated methods and calibration standards.
Include quality controls: blanks, procedural controls, reference standards, and replicate analyses (e.g., 5–10% duplicates) to assess precision and contamination.
Interpretation and reporting.
If screening detects benzodiazepines, confirmatory testing should be performed on the positive samples and, if necessary, on additional units.
Report concentration statistics (mean, standard deviation, range) and compliance with relevant specification or legal thresholds. For prevalence estimates include confidence intervals calculated from the sampling design.

Calculate the ANC for a patient with the following laboratory values. WBC is 3800 34% 15% 9.6 hematocrit of 29.4 and platelet count of 98,000.