A small critical care unit forms a team of nurses to implement bedside rounds at shift change
The nurses have researched the efficacy of bedside rounds and have determined that this evi-dence-based practice will lead to improved communication of patient status. Which type of change does this demonstrate? a. First-order change
b. Second-order change
c. Emergent change
d. Organizational change
A
First-order change occurs in a stable system and is characterized by rational stepwise processes. It is useful for smaller scale changes at a unit-based level. Adaptation and adjustment occurs when nursing uses a new evidence-based protocol and puts it into practice.
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A patient is diagnosed with febrile neutropenia. Which of the following medications is most effective in treating this patient?
A) Dicloxacillin sodium (Dynapen) B) Cefepime hydrochloride (Maxipime) C) Nafcillin sodium (Unipen) D) Oxacillin sodium (Prostaphlin)
Ruth Blake, 76 years old, fell at home and fractured her hip. She was admitted to a long-term care facility on the second day after surgery. She has become increasingly confused and agitated since admission
She has tried to get out of her bed and was found walking in the hall during the night. Mrs. Blake's symptoms could be related to abrupt withdrawal of which of the following? a. Alcohol b. Antibiotics c. Non-narcotic analgesics d. Nonsteroidal anti-inflammatory medications
The nurse is explaining the importance of sunlight on the skin to a handicapped woman who rarely leaves her house. The nurse would emphasize that ultraviolet light helps to synthesize what vitamin?
A) E B) D C) A D) C
Home care is part of a continuum of care where clients have the opportunity to live through the experiences of subacute, chronic, and end-of-life care
Using your knowledge about home health care, what is assisted living? A) A model of care for the elderly or disabled that includes services such as home care to maintain the independence of clients B) Coordination of a plan or process to bring home health services together as a common whole in a cost-effective way C) The condition where a client cannot leave his or her home without taxing effort D) A home health agency that is not freestanding in the community is one of many specialty services offered at an independent setting.