The risk manager informs the nurse manager of an orthopedic unit that her unit has had an increase in incident reports about patients falling during the 11-7 shift. The nurse manager knows that the best way to resolve the problem is to:
a. Use creativity.
b. Obtain support from the 7-3 shift.
c. Use institutional research.
d. Identify the problem.
D
Identification of a problem is the first step in problem solving and occurs before any other step. The most common cause for failure to resolve problems is the improper identification of the problem/issue; therefore, problem recognition and identification are considered the most vital steps.
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The newly hired graduate nurse learns she will be placed on probation for the first six months of employment. Which of the following explain the purpose of the probationary period? Select all that apply. Standard Text: Select all that apply
1. Determine an appropriate salary based on the type of work performed. 2. Determine ability to perfect skills and perform them in a timely manner. 3. Determine if others working in the facility like the new nurse. 4. Allow the newly hired nurse to determine if this is the correct facility for her. 5. Determine if the graduate nurse is able to work as a member of the team.
The critical care nurse recognizes that which of the following conditions may indicate the need for a patient to have a tracheostomy?
A) A patient with a respiratory rate of 10 breaths/min B) A patient who requires permanent ventilation C) A patient who exhibits symptoms of dyspnea D) A patient with respiratory acidosis
The nurse is preparing to administer a unit of platelets to an adult patient. When administering this blood product, which of the following actions should the nurse perform?
A) Administer the platelets as rapidly as the patient can tolerate. B) Establish IV access as soon as the platelets arrive from the blood bank. C) Ensure that the patient has a patent central venous catheter. D) Aspirate 10 to 15 mL of blood from the patient's IV immediately following the transfusion.
At an 8-month-old well-baby visit, the parent tells the nurse that her infant falls asleep at night during the last bottle feeding but wakes up when moved to the infant's crib. What is the most appropriate response for the nurse to make?
a. "You should put your baby to sleep 1 hour earlier without the nighttime feeding but with a pacifier for soothing." b. "You could place rice cereal in the last bottle feeding of the day to ensure a longer sleep pattern." c. "You should have your partner give the last bottle of the day and observe whether your infant stays awake for your partner." d. "You could increase daytime feeding intervals to every 4 hours and put your baby in the crib while the baby is still awake."