The charge nurse is determining tasks that can be delegated to keep the unit running smoothly. What factors should the charge nurse consider before delegating? (Select all that apply.)
a. Staff who are working
b. Acuity of patients
c. Community needs
d. Teaching obligations of the nurses
e. How many patients are waiting for beds on the unit
A, B, C, D
The charge nurse should consider other factors such as the staff that are working, acuity of pa-tients, community needs, and teaching obligations of the nurses before beginning to delegate. These factors will determine what kind of delegation can be safely handled by the staff.
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Which finding would cause the nurse to suspect a patient with heart failure was experiencing end organ hypoperfusion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Confusion 2. Dropping blood pressure 3. Urine output 15 mL per hour 4. Heart rate 124 5. Peripheral edema
What does Lewin's theory of change suggest the nurse can do to create change?
A. Freeze the change by constant persuasion, reinforcement, and use of focus groups B. Increase driving forces, decrease restraining forces, or do both C. Stabilize change by decree, rules and procedures, or legislation D. Unfreeze using the three Lewin techniques
A primary care NP sees an adolescent patient for a hospitalization follow-up after an asthma exacerbation. The patient reports having daily symptoms with nighttime awakening 4 or 5 nights per week and misses school several days each month
The patient currently uses a salmeterol/fluticasone LABA twice daily and albuterol as needed. The patient requires a refill of the albuterol prescription once a month. The patient does not have any known allergies. The NP should: a. order a high-dose ICS plus a LABA twice daily. b. consider adding theophylline to this patient's regimen. c. continue the current regimen and add omalizumab daily. d. order a combination product with ipratropium and albuterol.
The main active ingredient in coffee, black teas, most cola drinks, and many other bottled beverages that stimulates the nervous system, relieves fatigue, increases alertness, and in-creases the body's metabolic rate is
1. alcohol. 2. cocaine. 3. caffeine. 4. amphetamines.