Nurses believe that there is a need to change policy for their clinical unit. What is the first step these nurses should take when considering this need for new policy?
1. Looking for ethical arguments regarding the policy
2. Finding out who has authority to change the policy
3. Determining how many people are affected by the policy
4. Identifying the problem
4
Rationale: Changing and writing policy is a thoughtful and methodical process that should follow a distinct framework. The first step of this framework is identifying the problem.
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A nurse who works at an outpatient mental health clinic follows numerous clients who have schizophrenia, many of whom are being treated with olanzapine (Zyprexa)
Which of the following clients likely has the highest susceptibility to the adverse effects of olanzapine? A) A client who is morbidly obese and who has a sedentary lifestyle B) A client who has type 1 diabetes and who practices poor glycemic control C) A client who has a body mass index of 16.5 (underweight) and who smokes one pack of cigarettes daily D) A client who was recently treated with intravenous antibiotics because of cellulitis in his lower leg
The nurse is recovering a client after a left-sided cardiac catheterization. What assessment finding requires immediate intervention?
a. Urinary output less than intake b. Bruising at the insertion site c. Slurred speech and confusion d. Discomfort in the left leg
The nurse is instructing a male patient who has a difficult-to-control seizure disorder on home care issues. Which issue affecting safety is most important for the nurse to address with patient teaching before discharge?
a. Avoiding substances containing alcohol b. Maintaining a current list of medications c. Keeping a supply of medications at work d. Purchasing lawn equipment with a safety switch
A patient has pruritic skin. Which of the following nursing interventions would not apply for this patient?
a. administration of anti-inflammatory agents as indicated b. administration of antihistamines as indicated c. use of soothing agents such as oatmeal baths d. use of alcohol to prevent infection of the skin