The nurse, who is an expert at providing care to adult medical-surgical patients, is transitioning to providing care to adult intensive care patients. The nurse's skill level will most likely change to which level?
1. Competent
2. Novice
3. Advanced beginner
4. Proficient
3
Rationale 1: It will take some time before the nurse is able to function at the level of competent in the new clinical setting.
Rationale 2: A novice nurse is one who has little or no experiential background or understanding; the nurse is not a novice.
Rationale 3: Even though the nurse is expert at providing care to the adult medical-surgical patient, the nurse is now in a new clinical setting and will need to learn subtle variations of the patients' clinical presentations. These are characteristics of an advanced beginner.
Rationale 4: It will take some time before the nurse is able to function at the level of proficient in the new clinical setting.
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A nurse is using SBAR and tells the primary health care provider that the abdomen is distended and firm with a pain rating of 8 on a 0-10 scale. Which component of SBAR did the nurse communicate?
a. S b. B c. A d. R
When the nurse is collecting a specimen for a wound culture, the specimen should never be collected from:
a. a dressing. b. deep in the wound. c. the outer edge of the wound. d. old drainage.
The scope of nursing includes more than following a medical order or performing an isolated task. Which of the following statements best describes the scope of nursing?
A) Nursing involves the care of aging, ill people and emphasizes the promotion of their highest possible quality of life and wellness. B) The needs of the client for self-care drive the nursing process. C) The nursing process involves a holistic approach to individuals and the care they require. D) The nursing role is to focus on the sick, rather than the well, who are more representative of the older population.
A patient with ventricular arrhythmias is receiving lidocaine (Xylocaine). For which of the fol-lowing adverse effects should the health care provider periodically assess the client?
a. Drowsiness, confusion, and stinging at the injection site b. Nystagmus, ataxia, and slurred speech c. Dry mouth, blurred vision, and urinary retention d. Lightheadedness, dizziness, and nausea