A new interim manager is creating the schedule for a nursing unit. She has scheduled a new nurse for seven midnight shifts in a row, with 2 days off, then two day shifts (7 AM to 3 PM) on, 2 days off, and so on
The new nurse discussed her concerns with the new interim manager. She also brings research articles to support her case of working numerous consecutive shifts and the potential health impact of fluctuations in day-night schedules. The manager explains that the unit is short-staffed and asks the nurse to try to find schedule changes with her peers. This scenario depicts a ____. a. Barrier to developing excellence
b. Respectful attitude toward employees
c. Sensitivity to the new nurse's feelings
d. Transformational management style
A
Behaviors that reflect a lack of concern for individuals and contempt for employees create bar-riers to developing excellence in organizations.
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The nurse is caring for an adolescent client with cystic fibrosis who is intubated with an endotracheal tube and is breathing with the assistance of a ventilator
The client is currently alert and oriented to surroundings but has been told by the parents that survival may not be likely. Which is the most appropriate nursing diagnosis for this client? A) Potential for Imbalanced Nutrition, More Than Body Requirements related to inactivity B) Potential for Fear of Future Pain related to medical procedures C) Anxiety related to leaving chores undone at home D) Powerlessness related to inability to speak to or communicate with friends
The nurse notes that a patient with type 2 diabetes mellitus is not prescribed aspirin 81 mg as recommended for the prevention of cardiovascular complications
What information in the patient's health history should the nurse use to understand why this medication has not been prescribed for the patient? Select all that apply. 1. Patient receives a vitamin B12 injection every month. 2. Patient admitted for gastrointestinal bleeding 3 months ago. 3. Patient prescribed warfarin (Coumadin) 2.5 mg by mouth every day. 4. Patient treated for chronic alcoholism and liver cirrhosis the past year. 5. Patient develops a rash and urticaria when taking medications with sulfa.
A nurse is initiating program planning. Which of the following actions will the nurse perform first?
a. An accurate and thorough assessment of the community b. A confirmation of the formal and informal leaders of the community c. A determination of the budget available for obtaining relevant data d. An analysis of the employer's perspective on potential program needs
The nurse is caring for a patient who is receiving fluid replacement after being burned on 37% of the body. Nursing assessment reveals a blood pressure of 80/60 mm Hg, heart rate of 120 beats/min, and urine output of 10 mL over the past hour
After reporting these findings, which order should the nurse expect to be prescribed for this patient? a. Discontinue the IV fluid infusion. b. Change the IV fluid to dextrose and water. c. Increase the amount of IV fluid administered per hour. d. Decrease the amount of IV fluid administered per hour.