A number of changes are introduced to a unit, including changes to familiar clinical procedures and the use of PDAs to enable bedside documentation. You, as unit manager, anticipate which of the following will contribute most to complexity compression?
a. Meaning of the change
b. Pace of changes
c. Previous experiences with change
d. Confidence of the leader in the value of the change
ANS: B
Complexity compression is a term that means that many changes are happening almost simultaneously and before one practice can be firmly implanted in our minds, we are already addressing some other change
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An 80-year-old patient is being admitted from a nursing home for treatment of septic shock. Which assessment finding should the nurse investigate as the most likely source of the sepsis?
1. A red, flat rash in the perineal area 2. History of exposure to a daughter who is receiving chemotherapy 3. Report that several patients at the nursing home have scabies 4. An indwelling urinary catheter inserted 3 days ago by nursing home personnel
The nurse is aware that advances have been made in the diagnosis and treatment of endocrine disorders in recent years due to the development of: Select all that apply
1. New diagnostic imaging technologies. 2. An immunoassay test of hormones. 3. Improved laboratory techniques for genetic studies. 4. New synthetic hormones. 5. Hormone agonists.
In the event that an unrestrained passenger was injured in a frontal-impact collision, the nurse should assess for:
1. Paradoxical movement of the chest caused by multiple rib fractures. 2. Unstable pelvic structure causing severe pain on palpation. 3. Unequal pulses in the lower extremities due to possible femur fracture. 4. Neck muscle spasms caused by hyperextension of the neck.
A nursing student comes to the university health center complaining of a sore throat, malaise, and loss of appetite. The nurse assesses the student and determines she has large white yellow exudates in the back of the throat and a fever
The student is presenting with a/an A) Infectious disease B) Viral illness C) Throat mass D) Mononucleosis