The nurse manager has identified physical assessment skills lacking in a new registered nurse. Using goal-setting theory, which of the following would be the most effective in enhancing the nurse?s assessment skills?
1. ?You need to work on your health assessment skills before your next employee evaluation.?
2. ?Get someone to help you with your health assessment skills by the end of the month.?
3. ?Read a health assessment book and practice your skills.?
4. ?Plan to study one body system each week and demonstrate your assessment skills to the nurse manager
each week.?
4
Explanation: 1. The manager needs to set systematic and measurable goals with the employee. The manager
will follow up with the employee each week. Informing the nurse to develop the skills without
providing a process and time frames to accomplish these goals will not motivate the nurse.
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The laboring client requests pain medication. Her contractions are lasting 20–30 seconds and are occurring every 8–20 minutes. The nurse would explain that analgesics given at this time would likely cause:
1. Fetal respiratory depression. 2. Decreased analgesic effectiveness at the end of labor. 3. Maternal hypotension. 4. Prolonged labor.
The nurse is caring for a 27-year-old patient with a diagnosis of head trauma. The nurse notes that the patient's urine output has increased tremendously over the past 18 hours. The nurse suspects that the patient may be developing:
a. diabetes insipidus. b. diabetic ketoacidosis. c. hyperosmolar hyperglycemic syndrome. d. syndrome of inappropriate secretion of antidiuretic hormone.
When the value of RR is close to 1.0, this means that:
a. The OR and the RR are far apart in value b. Absolute risk is low c. Exposure to the risk factor had a large effect on the outcome d. Exposure versus nonexposure to the risk factor is unrelated to the outcome
You go in to assess K.B. and find that he is complaining of a headache. His heart rate is 120 and his blood
pressure (BP) is 90/60 . His urine output for the past hour was 685 mL with a specific gravity of 1.002. What do you immediately suspect is occurring and why?