A nurse executive is trying to convince the hospital management team that a clinical ladder system would work well in nursing
Which points should the nurse include in this argument? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Clinical ladders keep very good nurses at the bedside.
2. These programs prove to be worth their cost.
3. These programs reveal substandard nurses quickly so they can be terminated.
4. Similar programs have been shown to improve nurse job satisfaction.
5. Quality of client care increases with these programs.
1,2,4,5
Rationale 1: Nurses with excellent clinical skills are promoted, but not into management. They stay at the bedside.
Rationale 2: Evaluation of established programs has shown substantial positive fiscal impact.
Rationale 3: Terminating nurses is not the focus of the clinical ladder program.
Rationale 4: Improvement of job satisfaction has been shown to be a result of clinical ladder programs.
Rationale 5: The programs have been shown to increase quality of client care.
Global Rationale:
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The nurse is working with a 3-year-old child in Bryant's traction for a fractured femur. A pain assessment scale, such as the Oucher scale, can be useful to the nurse caring for this child because the pain assessment scale:
1. Provides continuity and consistency in assessing and monitoring the child's pain. 2. Decreases anxiety in the child. 3. Increases the child's comfort level. 4. Reduces the child's fear of painful procedures.
Poor _____ ___________ decreases the patient's ability to feel the sensation of pressure or discomfort
Fill in the blank(s) with correct word
The nurse is performing an assessment on a patient who will begin taking propranolol (Inderal) to treat hypertension. The nurse learns that the patient has a history of asthma and diabetes. The nurse will take which action?
a. Administer the medication and monitor the patient's serum glucose. b. Contact the provider to discuss another type antihypertensive medication. c. Request an order for renal function tests prior to administering this drug. d. Teach the patient about the risks of combining herbal medications with this drug.
A male Hispanic client mixes hot and cold foods, causing them to lump together and "get stuck in his intestines," causing diarrhea with pain. The nurse would document this as which of the following?
A) Empacho B) Susto C) Mal ojo D) Mal puesto