A nurse has filed a grievance against the nurse manager. During the arbitration process the nurse is accusing the manager of favoritism among the staff. The manager becomes angry and uses foul language when hearing the accusations
Which action would be appropriate at this time? 1. The manager should be terminated.
2. The director of the unit should request a recess to address the manager?s conduct.
3. The arbitrator should end the meeting.
4. The manager and nurse should be allowed to voice their feelings.
2
Explanation: 1. During meetings and arbitration issues should be discussed openly and in a calm manner. The
manager should remain calm. If the manager is unable to remain calm, she should be removed
from the meeting. Parties should be able to openly discuss the issues but in a calm and
professional manner.
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The nurse is caring for a newborn infant. Thirty hours after birth, the infant passes a dark green meconium stool. The nurse recognizes this is important because the:
a. Stool indicates anal patency. b. Dark green color indicates occult blood in the stool. c. Meconium stool can be reflective of distress in the newborn. d. Newborn should have passed the first stool within 12 hours after birth.
A patient who has been seen responding to auditory hallucinations earlier in the morning approaches the nurse and shakes his fist, saying, "Back off, bitch!" and then goes into the day room. The nurse follows the patient into the day room
Which intervention would be best at this time? a. Stay between the patient and the door for easy exit. b. Stand out of range of possible assault by the patient. c. Position oneself about 28 inches from the patient. d. Sit down in a chair near the patient to convey interest.
The nurse is caring for a patient who has a tube that was placed into the duodenum while the patient was in surgery. What type of tube is this?
A) PEG B) Levin C) Gastric D) Nasoenteric
The nurse is explaining the pathophysiology of hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Which statement will the nurse include when teaching? HHNS:
1. Is accompanied by severe metabolic acidosis 2. Results in cellular overhydration and interstitial space dehydration 3. Causes severe dehydration from very high osmolarity 4. Causes a severe decline in glucose production, resulting in increased metabolic rates to burn fat for energy