A hospice nurse manager is presenting a new outlook to the hospice team and uses an example from Covey's work on habits of an effective leader. The term trim tab is used to delineate the small rudder that turns the larger rudder of a ship
Which of the following habits by Covey are suggestive of the trim-tab concept?
A) Inspiring others
B) Modeling character and competence
C) Instilling trust
D) Aligning goals and systems to achieve results
A
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A homebound patient drinks a six-pack of beer daily. The patient tells the nurse, "I've been having pain from my arthritis lately, so I take acetaminophen four times a day."
The nurse's priority interventions include: (Select all that apply.) a. determining the safety of the dose the patient is ingesting daily. b. inquiring about sleep disturbances caused by mixing alcohol and analgesics. c. advising the patient of the harmful effect of alcohol and acetaminophen on the liver. d. suggesting increasing the acetaminophen dose, since alcohol causes faster excretion. e. assessing for declining functional status associated with medication-induced dementia.
A client with anorexia nervosa being treated on an outpatient basis has begun refeeding. Between the
first and second appointments the nurse assesses that the client has gained 8 pounds. The nurse should a. praise the client for the weight gain. b. assess lung sounds and extremities. c. suggest use of an exercise program. d. establish a higher target for weight gain for the next week.
A nurse prepares to administer intravenous colchicine. Which precaution is correct?
1. Administer the medication in an IV line with D5 ½ normal saline. 2. Dilute the medication with a bacteriostatic solution. 3. Administer the medication over 1 minute. 4. Verify that the IV line is patent.
The nurse is caring for a client with a medical diagnosis of increased intracranial pressure. Which IV fluid order should the nurse accept without questioning?
1. Normal saline at 125 mL/hour. 2. Dextrose 5% and water at 80 mL/hour. 3. Dextrose 5% and 0.45% NaCl at 75 mL/hour. 4. Normal saline 0.45% at 200 mL/hour.