The nurse manager is devising a teaching schedule for the staff who are about to begin using a new type of patient bed in the ICU. Implementation is planned in 6 weeks. When is the best time for the manager to schedule the teaching sessions?
a. Immediately
b. One week before implementation
c. Two weeks before implementation
d. Four weeks before implementation
ANS: B
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A 12-year-old patient, who was recently place in foster care after one year in a residential facility, reports recurring nightmares about a violent event in the residence. He also has some difficulty remembering and concentrating
The nurse suspects the patient may be developing which disorder? 1. Depression 2. Separation anxiety 3. Pediatric bipolar disorder (PBD) 4. Posttraumatic stress disorder (PTSD)
A client requests pain medication as a result of incisional pain following a Cesarean section. The client's pain level is five on a ten-point scale with 10 being the worst pain the client has ever had
Thirty minutes after receiving the pain medication, the client states her pain is a two on the ten-point scale. What is the nursing process step that is described above? A) Diagnosis B) Evaluation C) Planning D) Implementation
While examining a patient's peripheral intravenous (IV) site, the nurse observes a red streak along the length of the vein. On palpation, the vein feels hard and cordlike. What is the nurse's best action?
a. Check for a blood return and notify the prescriber. b. Discontinue the infusion and remove the IV needle. c. Apply ice packs to the vein and continue the infusion. d. Change the IV fluid to normal saline and redress the site.
The charge nurse is reviewing the healthcare plans written by the unit's staff nurses. Which NANDA nursing diagnosis is most likely to be construed as culturally biased and possibly offensive?
1. Fear related to separation from support system during hospitalization 2. Spiritual Distress related to discrepancy between beliefs and prescribed treatment 3. Interrupted Family Processes related to a shift in family roles secondary to demands of illness 4. Noncompliance related to impaired verbal communication secondary to recent immigration from non–English-speaking area