What is the best strategy the nurse manager can use to help retain nursing staff?
1. Relieve staff of the need to serve on committees in the institution.
2. Hire younger employees.
3. Require that the nurse sign a contract for at least 1 year of service.
4. Closely review applicant's previous job history for length of commitment
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Rationale 1: Nursing must be represented on committees to retain a sense of ownership of the organization.
Rationale 2: Age of the employee has less to do with commitment than the person's mobility, which may be affected by age and responsibilities.
Rationale 3: Contracts are easily broken. Making the nurse feel that there is a 1-year commitment may result in a nurse who is unhappy and ineffective in the job. A one-year commitment does not reduce turnover.
Rationale 4: A review of a job applicant's history of employment will give the nurse manager an idea of his or her past commitment to the workplace.
Global Rationale:
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Which of the following will cause a nurse to suspect that a patient's pulmonary contusion is worsening?
a. A pulmonary artery catheter showing a central venous pressure of 6 cm H2O and a wedge pressure of 8 mm Hg b. An increased need for pain medication c. An arterial blood gas value that demonstrates respiratory alkalosis d. Increased peak airway pressures on the ventilator
In planning appropriate interventions for the client you are assigned to work with during your mental health nursing clinical the next morning, you decide to do a specific intervention based on a single research article you found on line about the
outcome of a specific intervention. Were you to carry out your plan the next morning during clinical, you would be demonstrating: A) Evidence-based practice. B) Research utilization. C) Use of clinical pathways. D) Use of psychiatric diagnoses.
The nurse is explaining the purpose of a tracheostomy tube for mechanical ventilation. Which patient statement indicated the need for additional teaching? "The tracheostomy tube is:
1. Used for long-term management, usually more than 2 or 3 weeks." 2. Helpful in allowing the respiratory muscles to be strengthened by increasing resistance to airflow." 3. Easier to use when there are increased secretions that need to be removed by suctioning." 4. Generally a method that allows oral nutrition to be resumed."
The nurse knows that atropine (Atropair) increases heart rate by
1. blocking the beta receptors of the parasympathetic nervous system. 2. directly stimulating the sympathetic nervous system. 3. potentiating the effects of acetylcholine on nicotinic receptors. 4. Blocking the effects of acetylcholine by occupying muscarinic receptors.