A staff RN is writing an article for a prestigious nursing journal. The deadline is in 1 week, and she is feeling overwhelmed about completing her work
She is unable to keep up with home management, and she is beginning to procrastinate on the project. She also has other responsibil-ities, such as taking her elderly mother grocery shopping and to health care appointments. She is married to a busy executive and has three children, all of whom are active in high school sports. Which of the following time management strategies would be helpful (select all that apply)? a. Break the project into smaller, manageable pieces.
b. Contact an elderly nurse aide helper pro-gram to assist with shopping.
c. Cut extra activities out of her schedule, such as her morning walk.
d. Delegate some of the household chores to her family.
A, B, D
Dividing the project into smaller, manageable pieces will help make the project seem less over-whelming. Delegating other responsibilities such as housekeeping and taking her mother shopping also will relieve some of the burden she is experiencing. Exercise is important to help the nurse deal with stress and would not be wise to delete from her schedule, if possible.
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You are reviewing the lab reports for a Jehovah's Witness client. Your understanding of this religion is that they will not accept blood transfusions even though the lab values indicate that the client needs the blood
You decide to intervene for the patient by A) calling the doctor for an order for a blood transfusion. B) consulting pastoral care to talk to the patient. C) asking the client if he would reconsider the decision not to receive blood. D) informing the doctor of the lab values and modifying care to meet the needs of the client since blood will not be administered.
The nurse is assessing the effectiveness of interventions provided to a client with chronic obstructive pulmonary disease (COPD). Evidence that care has been effective would be:
1. Client leaves hospital unit to smoke outside 4 times a day. 2. Client needs assistance with morning care and meals due to shortness of breath. 3. Client states family members would prefer he was admitted to a nursing home for continuing care. 4. Client conducts morning care and ambulates in room while maintaining an oxygen saturation of 92% on room air per oximetry reading.
The nurse is caring for a client with sickle cell disease who tells the nurse that she is considering taking large doses of vitamin C because she has read about its ability to enhance wound healing. What is the best response from the nurse?
a. "That should be a very effective way to self-manage your disease process." b. "That is contraindicated because of the type of pain medication that you require." c. "That should encourage wound healing as well as enhance pain management." d. "That is contraindicated because it can lead to sickle cell crisis."
Ordered: heparin infusion 1500 units per hour Available: heparin 20,000 units in 1000 mL Ringer's solution When the nurse arrives on duty, the IV is flowing at 125 mL per hour. How many units per hour are being infused?
a. DA equation: b. Evaluation: IV flow rate the nurse should have set on the infusion pump based on the order: c. DA equation: d. Evaluation of math and flow rate: