The nurse would identify which of the following as an example of a strategy that represents fiscally responsible clinical nursing practice?
a. Begin discharge planning as soon as it is evident when a patient will be discharged.
b. Encourage patients to consider being admitted the evening before a major surgical procedure.
c. Use unlicensed personnel as much as possible in the delivery of nursing care.
d. Accurately document the current status of a patient with regard to the patient's ongoing needs.
D
Documentation that accurately reflects the current status of the patient is critical to the institution obtaining reimbursement for the care of the patient. For example, if there are "no problems" with a patient, then perhaps the patient could be cared for in a less expensive environment. Use of unlicensed personnel is important but only to the extent of their training, and this is not a relevant factor in a great deal of nursing care. Discharge planning considerations should begin when the patient is admitted and not left until the patient is about to be discharged. It would be unnecessary and costly to have the patient admitted the evening before surgery because this would cost an extra day of hospitalization.
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The nursing students are learning about the immune system in their anatomy and physiology class. What would these students learn is a component of the immune system?
A) Stem cells B) Cytokines C) Lymphoid tissues D) Red blood cells
A pregnant patient receiving intravenous oxytocin for 1 hour has contractions lasting 80 seconds. What should the nurse do first for this patient?
A) Discontinue the oxytocin infusion. B) Slow the infusion to below 10 gtt/minute. C) Increase the flow rate of the main line infusion. D) Continue to monitor contraction duration every 2 hours.
Four basic skills have been noted for critical thinking. Which of the following is not necessarily one of these skills?
a. critical reading b. critical listening c. critical negotiation d. critical writing
Negotiating upward to secure necessary resources, support, and recognition for the team is an example of
a. An external environmental leadership action b. A relational external leadership action c. A task internal leadership action d. A relational internal leadership action