First-level managers are responsible for the day-to-day activities of the unit. Which activity would the nurse expect to see only from a first-level manager?
a. Making daily staffing assignments
b. Managing the unit's budget
c. Maintaining currency in profession
d. Making daily patient rounds
ANS: B
Managing the unit budget is the sole responsibility of the nurse manager and first-level manager. The other activities are not specific to first-level managers.
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A nurse is assessing a dark-skinned client for pallor. What action is best?
a. Assess the conjunctiva of the eye. b. Have the client open the hand widely. c. Look at the roof of the client's mouth. d. Palpate for areas of mild swelling.
The nurse is caring for a 2-year-old child admitted to the acute care pediatric unit following ingestion of cleaning supplies. When the nurse enters the room, the mother says, "This hospital is terrible
None of the nurses know what they're doing, and the doctor doesn't seem to care at all about my child." The nurse interprets this statement as indicating: 1. The mother will probably sue the hospital for malpractice because the child received inadequate care. 2. The nursing supervisor needs to be informed of the poor care delivered to this client. 3. The mother feels guilty about the child's injury and is directing her anger at the staff. 4. Someone on the staff failed to create a trusting relationship with the mother, and she is angry at everyone.
The nurse is caring for an adolescent with type 1 diabetes mellitus who asks, "Why do I have to stick needles in myself? Why can't I just take a pill?" In responding to the client, the nurse would include what information? Select all that apply
Standard Text: Select all that apply. 1. The pills stimulate the pancreas to secrete insulin, and a type 1 diabetic's pancreas doesn't make insulin. 2. Insulin can't be taken orally because the stomach acids would destroy it. 3. Insulin is required only until early adulthood, when the condition stabilizes. 4. Control of weight and obtaining adequate exercise will eliminate the need for insulin. 5. Proper administration of insulin reduces risk of complications.
The nurse in an endocrine clinic is assessing an 8-year-old girl who has not yet started menstruating and is Tanner stage II. Which statement by the nurse to the parent is most appropriate?
A. "Bring her back when she starts menstruating." B. "She may have a deficiency of luteinizing hormone." C. "Your child's development is appropriate for her age." D. "We will test her for levels of the female hormones."