A hospital was conducting an external assessment to ascertain whether it could set up a satellite clinic within a 75-mile radius of the larger hospital. An example of a threat to the hospital's proposal is:
a. New programs
b. Diversification
c. Decrease in the number of insured patients
d. Population growth
ANS: C
External threats include shortage of nurses, decrease in the number of insured patients, and legislative changes.
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A postoperative client has respiratory depression after receiving midazolam (Versed) for sedation. Which IV-push medication and dose does the nurse prepare to administer?
a. Flumazenil (Romazicon) 0.2 to 1 mg b. Flumazenil (Romazicon) 2 to 10 mg c. Naloxone (Narcan) 0.4 to 2 mg d. Naloxone (Narcan) 4 to 20 mg
A 7-year-old child is taking methylphenidate twice daily. The nurse should instruct the parent that the second dose should be administered:
a. before 4 pm. b. 2 hours after the first dose. c. at bedtime. d. at any time; timing is not relevant because of the long half-life.
The nurse would be most concerned about premature ventricular contractions (PVCs) that
a. are uniform in appearance. b. fall on a T wave. c. occur at a rate of four per minute. d. occur with angina.
While the nurse tries to obtain a sputum specimen from the client who has pneumonia, the client's SaO2 falls to 88%. Which intervention does the nurse implement next?
1. Complete the sputum collection quickly. 2. Clear the client's airway with suctioning. 3. Provide prescribed supplemental oxygen. 4. Instruct client to lie flat and breathe deeply.