Why is procrastination particularly problematic for many nurses?
A) Procrastination can lead to poor patient outcomes.
B) Nurses fear recrimination and thus procrastinate to avoid punishment.
C) Nurses experience more stress than most working professionals; therefore, they tend to
procrastinate more often.
D) As a group, nurses are overachievers. Overachievers often fear failure and therefore tend to
procrastinate for fear of making a mistake.
D
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A 43-year-old woman is at the clinic for a routine examination. She reports that she has had a breast lump in her right breast for years. Recently, it has begun to change in consistency and is becoming harder
She reports that 5 years ago her physician evaluated the lump and determined that it "was nothing to worry about." The examination validates the presence of a mass in the right upper outer quadrant at 1 o'clock, approximately 5 cm from the nipple. It is firm, mobile, and nontender, with borders that are not well defined. The nurse replies: a. "Because of the change in consistency of the lump, it should be further evaluated by a physician." b. "The changes could be related to your menstrual cycles. Keep track of the changes in the mass each month." c. "The lump is probably nothing to worry about because it has been present for years and was determined to be noncancerous 5 years ago." d. "Because you are experiencing no pain and the size has not changed, you should continue to monitor the lump and return to the clinic in 3 months."
When irrigating a client's ear, the nurse avoids occluding the ear canal with the tip of the syringe while instilling the solution. Why should the nurse take such a precaution?
A) Foreign bodies may swell and become tightly fixed. B) The pressure of the trapped solution could rupture the eardrum. C) Drainage may saturate the client's gown and bed linen. D) Dehydrated bodies may become lodged at the tip of the syringe.
Nursing practice has been said to have the potential to be increasingly evidence-based in the next ten years. What are the impediments to enacting EBP? (Select all that apply.)
a. A misunderstanding of what EBP is has resulted in mandates and policies; bedside nurses sense that their expertise is being overridden. b. Only about one-seventh of published nursing research is experimental or quasi-experimental. c. Systematic reviews and meta-analyses in nursing are limited. d. Most hospitals do not have computer access to practice evidence. e. Population-based knowledge may or may not translate to the care of individual patients.
It is one week before a pregnant client's due date. The nurse notes on the chart that the client's pulse rate was 74–80 before pregnancy. Today, the client's pulse rate at rest is 90. The nurse should take which of the following actions?
1. Chart the findings. 2. Notify the physician of tachycardia. 3. Prepare the client for an electrocardiogram (EKG). 4. Prepare the client for transport to the hospital.