A nurse with 6 year's labor and delivery experience is floated to the intensive care unit. In this situation, the nurse would most likely function at the level of
a. advanced beginner.
b. competent.
c. novice.
d. proficient.
C
According to Benner's Five Levels of Competency in Nurses, a novice is one who has no expe-rience in situations in which they are expected to perform. This nurse would need specific rules to guide action. An advanced beginner has seen enough real situations to note recurring and meaningful components of the situation. A competent nurse has been on the job or in similar sit-uations for 2-3 years. A proficient nurse has a great deal of situational perception as the result of 3-5 years of experience.
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An adult patient with a large thermal burn has been receiving intravenous fluid resuscitation calculated by the maximum amount according to the American Burn Association consensus formula
What symptom or result would indicate the onset of a complication secondary to rapid fluid resuscitation? A) Urine output 30 to 50 mL/hr B) Serum sodium 135 to 140 mEq/L C) Weight gain of 12% since admission D) New coarse crackles auscultated at lung bases
The nurse reviewing the physician's diagnosis for a patient who has sustained a basal skull fracture knows that the patient should be observed for:
A) An area of bruising over the mastoid bone B) Bleeding from the ears C) An increase in pulse D) Difficulty sleeping
A nurse is teaching a client preventive strategies for migraine headaches. The nurse would evaluate that teaching goals have been met when the client says (Select all that apply)
a. "Do you know where I can learn relaxation techniques like yoga?" b. "Eating on a regular schedule may help prevent some migraines." c. "I should keep a headache diary to see if I can identify headache triggers." d. "Small amounts of alcohol should not cause any headaches." e. "There may be some foods that trigger my headaches that I should avoid."
The nurse would consider which of the following clients to be at greatest risk for postpartum hemorrhage?
A) the client who delivered a preterm infant at 34 weeks' gestation B) the client who delivered twins by cesarean section C) the client who has a temperature of 100.1F just after delivery D) the client who labored for 15 hours with a 45-minute second stage