A nurse considers environmental aspects of milieu management while planning care for a newly admitted patient. Which element has the highest priority?
a. Norms
b. Safety
c. Balance
d. Structure
B
Milieu management provides a proactive approach to care. Safety overrides all other dimensions of the milieu.
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A 5-year-old with a twin brother is admitted to the PICU after cardiac surgery. Hospital policy does not allow individuals younger than 12 years of age to visit the PICU
The nurse recognizes the needs of the patient and his brother and suggests that the mother bring her son to visit his brother briefly in the afternoon when the unit is usually quiet. This illustrates which of Brenner's stages of nursing proficiency? a. Advanced beginner b. Competent practitioner c. Proficient practitioner d. Expert practitioner
When should surgical options for peripheral arterial disease be considered?
A. Immediately after the diagnosis since the prognosis without revascularization is poor B. After two weeks of pentoxifylline (Trental) therapy C. Pain is not relieved with rest D. Pain limits the patient's lifestyle or ulceration occurs
Short-term nursing center residents:
a. Have birth defects b. Have childhood injuries or diseases c. Are recovering from fractures, acute ill-ness, or surgery d. Are dying
While preparing to administer an eye ointment, the nurse inadvertently squeezes the tube, discarding the first bead of medication. What action should the nurse take at this point?
1. Administer the eye ointment as ordered, as the first bead of ointment should be discarded anyway. 2. Notify the pharmacy and request a new, unopened tube of ointment. 3. Have a second licensed nurse witness the waste and sign the chart. 4. Continue to squeeze the tube until a clear line of ointment has been discarded from the tip.