In evaluating the success of a clinical nurse leader (CNL) program, a nursing dean would determine that program goals had been met when graduates were able to successfully (Select all that apply.)
a. demonstrate leadership in hospital nursing departments.
b. function effectively in an advanced specialty nursing role.
c. oversee care coordination of a distinct group of patients.
d. provide direct patient care in complex situations.
e. supervise ancillary and adjunctive nursing staff members.
C, D
One of the two major roles of the CNL is to oversee the care coordination of a distinct group of patients.
The other major role of the CNL is to provide direct patient care in complex situations.
CNLs design and implement care and are accountable for care outcomes, but they do not necessarily serve in departmental leadership positions.
CNLs are considered generalists, not specialists.
The CNL role is not designed as a direct supervisory role, such as a charge nurse.
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A pregnant woman in her second trimester arrives at the labor unit triage station with complaints of lower abdominal cramping and urinary frequency. Appropriate nursing actions include which of the following? (Select all that apply.)
A. Assess the fetal heart rate. B. Assess the patient's pulse rate. C. Insert an indwelling Foley catheter. D. Obtain a urine sample for culture and sensitivity. E. Palpate the patient's abdomen for contractions.
The patient's heart rate is 70 beats per minute, but the P waves come after the QRS complex. The nurse correctly determines that the patient's heart rhythm is:
a. a normal junctional rhythm. b. an accelerated junctional rhythm. c. a junctional tachycardia. d. atrial fibrillation.
The nurse understands that which of the following drugs falls under the classification of biguanides?
1. Metformin HCI (Glucophage) 2. Repaglinide (Prandin) 3. Tolbutamide (Orinase) 4. Acarbose (Precose)
There is an increase in the number of individuals with chronic disease. As a result, the nurse of the future will
A) have an increasing number of clients requiring assistance with self-care. B) have increased caseloads and numbers of clients to see and monitor. C) need to find new and different ways to care for the increased numbers of clients. D) focus on providing care in the home to those who have insurance coverage.