To increase safety in patient care areas of the Valley Hospital, the executive begins by:
a. Asking the community what the safety issues are.
b. Consulting with a management expert about staffing schedules.
c. Ensuring that the senior nursing officer attends the board meetings.
d. Instituting improved practices to reduce needle-stick injuries.
ANS: C
The IOM report (2004) highlighted the importance of the attendance of the senior nurse executive at board meetings to be a key spokesperson on safety and quality issues.
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The patient has extensive dermal exposure to a dermal toxin. What is the nursing priority of care?
A) Remove clothing and shower for 15 to 30 minutes. B) Irrigate affected area with an alkaline solution. C) Include use of soap in initial shower. D) Apply a topical soothing and moisturizing agent.
A patient, diagnosed with cancer, has been receiving radiation treatments to shrink the tumor. After several weeks, the patient tells the nurse that he does not need as much pain medication as before
What would explain the reduction of pain for this patient? 1. The radiation treatments reduced the size of the tumor and pressure on adjacent tissues. 2. The tumor is secreting pain-control chemicals initiated by the radiation. 3. The patient is getting used to having pain. 4. The patient's pain receptors have been affected by the cancer.
What effect would an infusion of 200 mL of albumin have on a healthy client's plasma osmotic and hydrostatic pressures?
A. Increased osmotic pressure, increased hydrostatic pressure B. Increased osmotic pressure, decreased hydrostatic pressure C. Decreased osmotic pressure, increased hydrostatic pressure D. Decreased osmotic pressure, increased hydrostatic pressure
In matters related to the gastrointestinal system of the newborn, nurses should be aware that:
1. cheeks of the newborn are full because of normal fluid retention. 2. placing the nipple of the bottle or breast well inside the baby's mouth is necessary because teeth have been developing in utero and one or more may even be through. 3. regurgitation during the first day or two can be decreased by burping the infant and by slightly elevating the infant's head. 4. bacteria are already present in the infant's GI tract at birth because they traveled through the placenta.