It is 2 PM. You are calculating the nursing care hours for the 3-to-11 PM shift and must decide whether you need to call in additional help. You have three RNs, three nursing assistants, and one ward clerk scheduled
You have 22 patients with the following acuity and nursing care hours allotted for the evening shift:
Category I, 4 patients @ 2.0 hours
Category II, 2 patients @ 2.3 hours
Category III, 10 patients @ 2.8 hours
Category IV, 6 patients @ 3.4 hours
What are the needed hours of nursing care?
A) 61 hours
B) 52.6 hours
C) 68.4 hours
D) 48.4 hours
A
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The nurse, in planning care, considers that the two most common opportunistic infections and malignant neoplasms in the HIV-positive patient are:
1. Streptococcal pneumonitis and myeloma. 2. Streptococcus pneumoniae and malignant melanoma. 3. Pneumocystis jiroveci pneumonitis and Kaposi's sarcoma. 4. Mycoplasmal pneumonia and Kaposi's sarcoma.
A newly licensed nurse compares the challenges facing nursing today with those faced by nurses when her mentor graduated in 1990
The mentor states, "Prevention was the focus of nursing when I graduated. We stressed preventive health measures such as smoking cessation education to reduce preventable diseases and prevention to reduce the spread of infectious disease such as AIDS." The mentor asks, "What do you think the challenges will be for nurses graduating now? The correct response would be: (Select all that apply.) a. coordinating care for a more diverse aging population who have complex health values. b. managing care provided by nurses who are technologically advanced and skilled at interprofessional collaboration. c. providing care to well-informed consumers who are younger with narrow health values. d. redesigning nursing care delivery models to streamline care based on fewer generational differences. e. focusing on care from a systems perspective.
Which statements are true regarding opioid receptors? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Opioid blockers such as naloxone (Narcan) inhibit both the mu and kappa receptors. 2. Some opioids stimulate a particular receptor; others block a receptor. 3. Opioid blockers such as naloxone (Narcan) stimulate both the mu and kappa receptors. 4. Opioids interact with mu (types one and two) and kappa receptors. 5. Opioids interact with sigma, delta, and epsilon receptors only.
The nurse recognizes that skin integrity can be compromised when skin is exposed to body fluids. The greatest risk exists for the patient who has exposure to which one of the following fluids?
a. Urine b. Purulent exudates c. Pancreatic fluids d. Serosanguineous drainage