The nurse manager of a 30-bed medical surgical unit has noticed that the fall rate of postopera-tive patients has increased in the past 2 months. The nurse manager wants to address this situa-tion using evidence-based practice
Which type of trigger did the nurse manager use? a. Literature-focused trigger
b. Problem-focused trigger
c. Knowledge-focused trigger
d. Expectations-focused trigger
B
A problem-focused trigger is one you face while caring for patients or a trend you see on a nurs-ing unit. A knowledge-focused trigger is a question that arises as a result of new information available on a topic, such as current information in literature. Titler et al. (2001) suggest using problem- and knowledge-focused triggers to think critically about clinical and operational nurs-ing-unit issues. It does not include literature or an expectations trigger.
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Which action by the nurse manager is a demonstration of satisficing?
1. The nurse manager works with the staffing schedule until all requested days off are honored. 2. The nurse manager reposts a job opening because no applicants were a good fit for the current unit staff. 3. The nurse manager agrees with a proposed budget that does not provide badly needed new client beds. 4. The nurse manager insists on firing a nurse who is chronically late to work.
A client asks the nurse how she can tell if labor is real? What should the nurse give as an explanation? (Select all that apply.)
a. In true labor, the cervix begins to dilate. b. In true labor, the contractions are felt in the abdomen and groin. c. In true labor, contractions often resemble menstrual cramps during early labor. d. In true labor, contractions are inconsistent in frequency, duration, and intensity in the early stages. e. In true labor your contractions tend to increase in frequency, duration, and intensity with walking.
A patient is being mechanically ventilated with SIMV at a rate of 25 breaths per minute. Why should the nurse question this order?
1. The rate could be too high for this mode. 2. The patient would be more comfortable with a different mode. 3. The patient is not receiving enough sedation. 4. SIMV is always used in combination with PEEP.
The nurse is preparing to administer an oral medication that is water-soluble. The nurse understands that this drug
a. must be taken on an empty stomach. b. requires active transport for absorption. c. should be taken with fatty foods. d. will readily diffuse into the gastrointestinal tract.