You are a nurse manager on a busy pediatric unit in a large metropolitan hospital. You understand that it is important to utilize nursing intensity when determining staffing needs over the upcoming holidays
Which of the following factors will you use when you evaluate the nurse intensity on your unit? Select all that apply. a. severity of patient illness c. requests for time off
b. complexity of care d. patient dependency regarding ADL
A, B, D
Nurse intensity has been defined by Adomat and Hewison (2004) as "a measure of the amount and complexity of nursing care needed by a patient." Some of the factors that contribute to nurse intensity are: severity of patient illness, complexity of care, patient dependency regarding ADL (activities of daily living), and the amount of time needed for care.
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The physician has ordered continuous positive airway pressure (CPAP) with the delivery of a patient's high-flow oxygen therapy. The patient asks the nurse what the benefit of CPAP is. What would be the nurse's best response?
A) CPAP allows a higher percentage of oxygen to be safely used. B) CPAP allows a lower percentage of oxygen to be used with a similar effect. C) CPAP allows for greater humidification of the oxygen that is administered. D) CPAP allows for the elimination of bacterial growth in oxygen delivery systems.
What is the initial intervention for an unconscious patient who is not breathing according to one-person CPR principles, as taught and practiced by professional nurses?
a. Lift the jaw to clear the airway. b. Call for assistance. c. Start chest compressions. d. Remove patient clothing to visualize the chest.
Which observation by the nurse indicates that an adolescent's cognitive thinking is developing at an expected level?
A) Adolescent says that all plastic remote controls break easily. B) Adolescent asks the mother to provide the sharp item needed to cut meat. C) Adolescent explains how working a part-time job will help pay for a car. D) Adolescent tells the parent that the dog moved the bicycle into the driveway.
The nurse is assessing a client with a long-term history of arthritic pain. Assessment reveals a heart rate of 115 beats/min and blood pressure of 170/80 mm Hg. Which intervention will the nurse carry out first?
a. Administer blood pressure medication. b. Administer a drug to lower the heart rate. c. Assess whether the client needs an-ti-arthritis medication. d. Continue to assess for possible causes of elevated vital signs.