Implementation of a new evidence-based practice guideline aimed at reducing urinary incontinence among hospitalized elders has proven difficult because of increased demands on nursing staff
Nurses on the unit state that the guideline requires them to spend more time and effort assessing for precursors to incontinence and toileting patients. Implementation of the practice guideline is being challenged by which of the following factors?
A) Patient preferences and actions
B) Patients' clinical states
C) Clinical expertise
D) Healthcare resources
D
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When planning team assignments for the shift, the charge nurse takes which of these as the first step?
1. Determine how much work can be done by the charge nurse. 2. Prioritize activities and available resources. 3. Assign all the tasks in a fair, random manner. 4. Ask the staff what assignments they prefer.
The nurse reviews the patient's medical history and determines class II antiarrhythmics are contraindicated due to the patient's history of what condition?
A) Asthma B) Colitis C) Migraine headache D) Antidiarrheals
The patient has new-onset restlessness and confusion. His pulse rate is elevated, as is his respiratory rate. His oxygen saturation, however, is 94% according to the portable pulse oximeter
The nurse ignores the oximeter reading and calls the physician to obtain an order for an arterial blood gas (ABG). The nurse does this because many things can cause inaccurate pulse oximetry readings, including which of the following? (Select all that apply.) a. O2 saturations (SaO2) >70% b. Carbon monoxide inhalation c. Nail polish d. Hypothermia at the assessment site e. Intravascular dyes
Intimate partner violence is a pattern of assaultive and coercive behaviors. What is an assaultive and coercive behavior that can occur?
1. Emotional injury 2. Sexual assault 3. Progressive social interaction 4. Physical injury A) 1, 2 B) 1, 3 C) 2, 4 D) 3, 4