A nurse has worked on the medical surgical unit for the past 10 years. The nurse has applied for a transfer to the ER (emergency room)
When the nurse informs the unit manager of the request to transfer, the nurse informs the manager, ?I?m burned out.? Which of the following describes burnout? 1. The nurse is unable to function as a nurse.
2. The nurse is exhausted physically, emotionally, and cognitively.
3. The nurse is not challenged by his current position.
4. The nurse is ready to leave the nursing profession.
2
Explanation: 1. The term burnout refers to the perception that an individual has used up all available energy to
perform the job and feels he or she does not have the energy to complete the task.
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The mother of an infant born prematurely tells the nurse, "The baby is irritable. She cries during diaper changes and feedings. Can you make some suggestions about what I should do to soothe her?"
What is the most appropriate recommendation to help this parent? a. Play the radio or TV while you feed the infant. b. Put the infant in a room with sunlight. c. Wrap the infant snugly when you hold them. d. Change the infant's position quickly.
A patient with a large thermal burn injury is found to have depressed cardiac contractility and a resultant low cardiac index. What is the underlying, primary, physiologic rationale for this situation?
A) Inflammation-triggered release of nitric oxide B) Reduction of platelet aggregation and adhesion C) Decreased intravascular volume from third spacing D) Peripheral vasodilatation from inflammation
The nurse is instructing a client in preparation for a colonoscopy. The nurse should explain that the client:
1. will need to be NPO for 8-12 hours prior to the exam. 2. will be given a soap-suds water enema shortly before the exam. 3. is permitted to drink clear liquids up until the time of the exam. 4. should eat a low-residue meal the evening before the exam.
A patient being treated for necrotizing fasciitis has signs of granulation tissue appearing in a large abdominal wound. The nurse anticipates providing which care for this patient's wound?
1. Irrigating the wound twice daily before applying dry dressing 2. Caring for a split thickness skin graft 3. Applying wet-to-dry dressings 4. Caring for a suture line created by surgical closure of the wound