As a nurse manager on the West Surgery Unit, you are interested in increasing patient safety and reducing morbidity and mortality on your unit. Which of the following recommendations would be consistent with the IOM The Future of Nursing report?
a. Careful screening of nursing staff for substance use and abuse
b. Increased RN staffing on the unit
c. Salary and benefits that reflect nursing accountabilities
d. Increase in the percentage of baccalaureate-prepared nurses to 80%
ANS: D
The Future of Nursing advocates for having 80% of the nursing population at a baccalaureate-prepared level. This recommendation reflects research that suggests that improved mortality and morbidity rates occur with a better educated workforce.
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When assessing a client's breath sounds, the nurse hears high-pitched, whistling sounds during both inhalation and exhalation. These breath sounds are called:
a. crackles c. sibilant wheezes b. pleural friction rubs d. sonorous wheezes
A nurse notes that a client's urine output is less than 300 ml over the past 24 hours. Which of the following could be the possible cause for the client's decreased output?
A) Diuretic medication B) Endocrine disease C) Kidney dysfunction D) Liver disease
The nurse is caring for a child with secondary hypertension. What renal disorders are associated with secondary hypertension? (Select all that apply.)
a. Renal tumor b. Hydronephrosis c. Vesicoureteral reflux d. Glomerulonephritis e. Urinary tract infection
The nurse assessed a client's deep tendon reflexes as being normal. Which of the following will the nurse document in the client's medical record?
1. 4+ 2. 3+ 3. 2+ 4. 1+