Crystal is a new nurse who is looking for a staff nurse position. She had several instances during clinical rotations in nursing school where she was late because she studied until the early hours of the morning
According to her circadian rhythm she would be best suited for which of the following positions? A. Full-time 8-hour day/evening rotation on the orthopedic unit
B. Part-time 12-hour day position in the emergency department
C. Full-time 12-hour night position in surgery
D. Part-time 8-hour day/night position on the pediatric unit
C
Coping strategies vary with the individual and the situation. People often ease their coping with shift work by knowing their own circadian rhythms.
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A patient has returned from back surgery. The family has brought in the patient's continuous positive airway pressure (CPAP) machine. What is the best rationale for allowing the patient to use the CPAP machine at night?
a. It will keep the patient in deep levels of REM, which will decrease the need for pain medication. b. It will help decrease hospital noise that will keep the patient awake. c. The patient needs ventilator support owing to the increased chance of postoperative respiratory complications. d. The patient needs to follow the same bedtime routine to promote a safe environment for sleep.
The nurse is taking a history of a new client in the clinic. Histories tend to be lengthy, and the sexual part can be difficult for the client. The nurse should use what technique to make it easier for the client?
1. Let the client fill out a paper copy, so she does not have to talk about intimate matters. 2. Skip the sexual part until the next time the client comes into the clinic. 3. Start with the easier medical and surgical questions, and develop a feeling of trust with the client. 4. Leave the sexual part of the history for the doctor to ask about.
Which of the following statements correctly identifies factors that contribute to medication errors?
1. A nurse who observes the five rights will prevent all medication errors from occurring. 2. Nurses are always liable when a medication error occurs. 3. Handwritten orders are more frequently associated with medication errors than are typed orders. 4. An incorrect dose (based on weight) is ordered, dispensed, and administered to a patient. The administering nurse and ordering clinician would be the only parties held accountable.
The nurse has just taken a job in a hospital that cares for an ethnically diverse population and is concerned about being culturally sensitive. How should the nurse plan to manage caring for patients in pain?
1. Treat all patients alike. 2. Listen carefully as the patient's comments about pain are translated. 3. Show respect for the patient's preferences even if they are very different from the nurse's. 4. Ask questions about the patient's beliefs and customs regarding pain management. 5. Watch how other nurses provide care to their patients.