The turnover rate for RNs in the ICU is high. You discuss this situation with existing staff and you find out that because of the rapid turnover,
new staff are frequently required to assume full responsibilities soon into the position and before training is completed. In considering approaches that will reduce turnover rates, the staff and you decide to implement:
a. An employee recognition program.
b. Coaching for new staff.
c. A new performance appraisal system.
d. A committed orientation and training program.
ANS: D
Retention of new nursing personnel begins on the day of their hire. This includes an effective, appropriate orientation and training program, which has a measurable impact on reducing turnover.
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An older client is receiving corticosteroid therapy to treat asthma. The nurse knows that
A) inhaled medications cause less severe adverse effects than systemic forms. B) there is a risk of hyperkalemia. C) the client may develop hypoglycemia. D) the client may experience hypotension.
The nurse is caring for a patient whose laboratory studies show hypocalcemia. What other laboratory study is congruent with this finding?
A) An elevated parathyroid hormone level B) A decreased parathyroid hormone level C) An elevated potassium level D) A decreased potassium level
The nurse teaches parents how to care for their child who has tympanostomy tubes inserted. Which actions by the parents indicate appropriate understanding of the teaching session?
1. Encouraging the child to drink generous amounts of fluids 2. Administering a decongestant for one to two weeks following surgery 3. Restricting the child to quiet activities after surgery 4. Limiting diet to soft, bland foods 5. Avoiding getting water in ears during bath time
Which of the following strategies should a nurse use when working with multiproblem families? (Select all that apply.)
a. Encouraging rapid progress toward change in behaviors b. Focusing on empowering the family and developing its self-esteem c. Helping the family identify its strengths d. Organizing possible sources of tangible support e. Pointing out opportunities for doing things differently f. Trying to resolve one major problem before beginning work on another