A nurse manager notes that staff is struggling with caring for an increased client load while a new management system is being implemented. What managerial action would help reduce this stress?
1. Asking a nursing faculty friend to use the unit for a student clinical
2. Hiring two newly licensed nurses for each shift
3. Asking for nurse input into decisions that directly affect care
4. Instituting a method of shift rotation that increases staff on each shift
3
Rationale 1: Helping to manage and supervise students is stressful for many nurses.
Rationale 2: Helping to orient newly licensed nurses is stressful for many nurses.
Rationale 3: Involving staff in decision making is one way to identify and reduce stress.
Rationale 4: Working rotating shifts is very stressful to many nurses.
Global Rationale:
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A patient is taking phenazopyridine (Azo-Standard) and ciprofloxacin (Cipro) for a urinary tract infection. What is the most important instruction the nurse needs to provide to the patient concerning this drug combination?
A) "Do not be alarmed if your urine is a reddish-brown color." B) "Be sure to take your medication with food if you have GI irritation." C) "Increase your fluid intake. Drink lots of water." D) "If you notice yellowing of your eyes or skin, contact your health care provider immediately."
The emergency department nurse realizes that the husband of a patient appears increasingly irritable as he waits alone in the waiting room. Which intervention would best prevent further escalation?
a. Periodically update the husband about his wife and what is being done for her. b. Explain that waiting is necessary because patients are treated in order of need. c. Reassure him that everything possible is being done and suggest ways to relax. d. Suggest that he return home and await an update from the physician in 3 hours.
Mr. P presents with squamous cell carcinoma of the neck and has had a feeding tube placed to allow feeding during radiation treatment. She has been having diarrhea and is concerned it is caused by the enteral feeding
The nurse promises to look into this problem, and finds that the probable cause of the diarrhea is the following filler in the liquid medication she is taking that acts as laxative: 1. Yellow dye #5 2. Gluten 3. Sorbital 4. Sodium
A patient admitted in a semistuporous catatonic state has neither left the apartment nor attended to personal hygiene for several weeks. The patient's last 48 hours have been spent lying in bed, mute and motionless
The priority nursing diagnosis is: a. self-care deficit. b. situational low self-esteem. c. disturbed thought processes. d. impaired verbal communication.