The clinic nurse understands that the advantages of planning include:
a. Assisting staff in critical thinking and im-proving decisions.
b. Orienting people to react instead of act.
c. Forcing managers to be cost-efficient and effective.
d. Focusing on activities, not results.
A
Effective planning means that everyone in the organization manages his own work and sees how it relates to organizational goals. Being proactive means "aggressive planning" that ensures that decisions are improved and are oriented toward organizational goals.
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An admitting nurse is assessing a patient with COPD. The nurse auscultates diminished breath sounds, which signify changes in the airway. These changes indicate to the nurse to monitor the patient for what?
A) Kyphosis and clubbing of the fingers B) Dyspnea and hypoxemia C) Sepsis and pneumothorax D) Bradypnea and pursed lip breathing
In which of the following cases should a progress note be written? Select all that apply
A) for any nurse–patient interaction B) when admitting a patient C) when receiving a patient postoperatively D) when assisting a patient with ADLs E) when a procedure is performed F) when a patient sends back an untouched dinner tray
A client diagnosed with narcolepsy asks the nurse why she is being given attention deficit and stimulant medications (Adderall and Ritalin) when her problem is sleep-related. The nurse:
1. Tells her to call her doctor because an error has been made 2. Relates that dextroamphetamine (Adderall) and methylphenidate (Ritalin) are used for narcolepsy 3. Tells her to call the pharmacist and make sure the prescription has been filled cor-rectly 4. Suspects that the client is abusing medications and assesses for other substance use
A client calls the clinic and says, "I have been taking Imodium (loperamide) for diarrhea, but it isn't helping." How should the nurse respond?
1. "Are you taking it after every episode of diarrhea?" 2. "Imodium is not effective against diarrhea." 3. "This medication may make you sleepy." 4. "You may have to take the maximum dose for 2 or 3 days before diarrhea slows." 5. "You should come in for assessment."