On Unit 62, the nurses and the unit manager have been involved in shared decision making related to the model of nursing care delivery that the unit will adopt
All individuals have parti-cipated and been involved in decision making and implementation of changes. When issues arise during implementation, it is expected that: a. Accountability resides entirely with the unit manager.
b. Individual expertise will be utilized to provide solutions, but that responsibility for the change is shared.
c. No one really has any accountability or responsibility for the changes.
d. This will contribute to widespread skep-ticism among the staff about the probabil-ity of success.
B
High-performing organizations provide for participation by all stakeholders, and each stakeholder shares responsibility and risk. This kind of environment is more satisfying for nurses and is characterized by optimism and trust.
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A client at a health care facility is to undergo amputation of the left leg due to intractable arterial and vascular ulcers. The client will be fitted with an immediate postoperative prosthesis (IPOP) after the surgery
What are the functions of the IPOP? Select all that apply. A) Reduces stump swelling B) Promotes intact body image C) Promotes early ambulation D) Helps to compress the vein walls E) Helps to absorb wound drainage from the surgical site
A primigravida dilated to 5 cm has just received an epidural for pain. She complains of feeling lightheaded and dizzy within 10 minutes after the procedure. Her blood pressure before the procedure was 120/80 and is now 80/52
In addition to the bolus of fluids she has been given, which medication is preferred to use to increase her BP? 1. Epinephrine 2. Terbutaline 3. Ephedrine 4. Epifoam
The provider prescribes 500 ml of 0.25% normal saline ( NS) IV over 4 hours for the client. At which rate does the nurse infuse the IV solution into the client using IV tubing with a drop factor of 15 gtts/ml?
1. 125 ml/hr 2. 31 ml/min 3. 31 gtt/min 4. 125 gtt/min
The nurse supervisor is planning an educational program regarding time-management strategies for the nurse managers. Which of the following program outcomes is the most appropriate regarding the ability to analyze implementation of interventions?
1. The nurse managers will be able to discuss the importance of thinking through process prior to performing the process to ensure maximum time-effectiveness. 2. The nurse managers will be able to identify two tasks that currently are performed by nurses on their units that the nurse managers can perform. 3. The nurse managers will be able to discuss the importance of increasing the number of supervision activities that the nurse managers could perform on their units. 4. The nurse managers will be able to discuss the importance of padding time into their routine meeting schedules to ensure that all topics are covered thoroughly.