Which of the following statements accurately reflects what employers generally should expect when hiring a newly graduated RN?
A) The RN should be proficient with the documentation system used by the institution.
B) The RN should be able to perform all nursing skills, enabling him or her to work
independently.
C) The RN should function with speed comparable to that of the other nurses.
D) The RN should be able to develop plans of care and follow plans developed by the agency.
Ans: D
New graduates should be able to develop plans of care and follow plans, such as
care pathways, that have been developed by the agency. Proficiency, speed, and complete
independence are developed over time and with increased experience and orientation.
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The nurse is reviewing the client's care plan and checking the quality of the nursing diagnosis statements. Criteria to use for guidelines in formulating nursing diagnoses include which of the following?
1. Nonjudgmental statements 2. Stated in terms of a need 3. Must be legally advisable 4. Cause/effect are correctly stated 5. Use medical terminology to describe the cause 6. Word the diagnosis specifically and precisely
A practitioner has ordered you to discharge Mr. Jones from the hospital, despite a new temperature of 102.0°F (38.8°C). The practitioner refuses to talk with you about the patient. In this situation, which of the following is an appropriate nursing action?
A. Administer an antipyretic medication, and discharge the patient. B. Discharge the patient with instructions to call 911 if he has any problems. C. Do not discharge the patient until you have discussed the matter with your nursing manager and are satisfied regarding patient safety. D. Discharge the patient, and tell the patient to take Tylenol when he gets home.
How do angiotensin-converting enzyme (ACE) inhibitors, such as enalapril (Vasotec), work to reduce HF? Select all that apply. ACE inhibitors:
a. prevent the conversion of angiotensin I to angiotensin II. b. cause systemic vasodilation. c. promote the excretion of sodium and water in the renal tubules. d. reduce preload and afterload. e. increase cardiac contractility. f. block sympathetic nervous system stimulation to the heart.
A client is prescribed theophylline to relax the smooth muscles of the bronchi. The nurse monitors the client's theophylline serum levels to maintain which therapeutic range?
a. 1 to 10 mcg/mL b. 10 to 20 mcg/mL c. 20 to 30 mcg/mL d. 30 to 40 mcg/mL