The nurse manager of a critical care unit creates the operating budget with the knowledge that a minimum of two professional nurses must be paid per shift regardless of the patient census. This standard has been determined by the:
1. Hospital administration.
2. Nursing administration of the hospital.
3. Joint Commission.
4. Nursing personnel of the special care units.
3
Explanation: 1. The Joint Commission and government regulations help establish the number and level of
nursing personnel for specific clinical units to maintain safety requirements. Hospital
administration, nursing administration, and nursing personnel must adhere to safety
requirements identified by the Joint Commission.
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A patient enters the emergency department with a gunshot wound to the abdomen. The most common hollow organ injured in this way is the:
A) Liver B) Small bowel C) Stomach D) Large bowel
The nurse questions the patient as to how he has coped with previous stressful situations because the nurse is aware that coping strategies are influenced by (select all that apply):
1. successful coping strategies from the past. 2. family practices and beliefs. 3. role expectations. 4. personal values. 5. cultural expectations.
Naltrexone (ReVia) is prescribed for a patient with alcohol dependency. What information should the nurse provide to the patient? Select all that apply
a. "This medication is part of a total program to help you remain abstinent from alcohol." b. "Do not use alcohol-containing products, such as aftershave lotion and mouthwash." c. "Avoid foods that contain tyramine, such as aged cheeses and meats." d. "This medication will help reduce the likelihood of a relapse." e. "This medication will eliminate your desire for alcohol."
Anne goes into her pediatric patient's room for her 0400 assessment of a child who was admitted with dehydration 12 hours ago. Anne begins her assessment and knows that there is a medical emergency when the findings indicate:
1. A child with a regular heart rate and a respiratory rate at the high end of normal. 2. A child who is awake and wanting to play on the PS3. 3. A child who has a purple rash in his extremities, and it does not blanch. 4. A child who complains that he is tired and vomits thick mucus.