In the ongoing postoperative period, the nurse independently determines, within the protocols of the hospital, the need for which provision of care?
1. Type of diet
2. Activity level
3. Assessment intervals
4. Intravenous solutions
Correct Answer: 3
The nurse will determine the frequency of client assessments required, within the protocols established by the facility. The minimum frequency is determined by the facility, but more frequent assessment may be determined by the client's condition, and is the decision of the nurse. Activity level, intravenous solutions, and type of diet are ordered by the health care provider.
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A hospital is experiencing a high nursing turnover rate. One manager suggests offering sign-on bonuses to fill positions
Why would the nurse executive veto this suggestion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Sign-on bonuses only attract newly licensed nurses. 2. The bonus schedule adversely impacts the current salary schedule. 3. Current nurses can be discouraged by this program. 4. Sign-on bonuses do not recognize achievement and loyalty. 5. Sign-on bonuses do not attract enough nurses to make it worth the time to set them up and advertise them.
A 19-year-old Arab male is in the hospital for a ruptured appendix. His parents are at the bedside the majority of his waking hours. The nurse caring for him during the day observes that he denies any pain during the day shift
The night nurse reported that the client had requested pain medication every 4 hours during the night. The nurse considers the most probable explanation for this to be: 1. The night nurse had more time to spend with the client. 2. The client must be afraid or lonely at night and is trying to get attention. 3. The client may not report pain in the presence of his parents based on their influence or cultural beliefs. 4. The client was asking for medication at night to help him sleep.
The nurse is working with a mother who has just delivered her third child, at 33 weeks' gestation. The mother says to the nurse, "This baby doesn't turn his head and suck like the older two children did. Why?" The best response by the nurse is:
1. "Every baby is different. This is just one variation of normal that we see on a regular basis." 2. "This baby might not have a rooting or sucking reflex, because she is premature." 3. "When she is wide awake and alert, she will probably root and suck even if she is early." 4. "She might be too tired from the birthing process and need a couple days to recover."
Which of the following represent nursing activities for the essential public health service?
A) Participate in community assessment and identify potential environmental hazards. B) Manage chronic conditions in daily life to maximize function. C) Understand and identify determinants of health and disease. D) Develop and implement community-based health education. E) Participate in continuing education and preparation to ensure competence.