An OB manager discusses a nurse's performance with the chief nurse officer (CNO). The CNO learns the nurse has had multiple client and physician complaints that the manager investigated and for which counseling was provided
The behavior continues even though the nurse has received verbal and written warnings. Which course of action would be most appropriate at this time? 1. Issue a written warning from the CNO.
2. Place the nurse on suspension pending a new investigation into the complaints.
3. Terminate the nurse.
4. Transfer the nurse to another department under another manager.
3
Rationale 1: Written warnings have already been issued. There is no evidence that another warning will improve the nurse's performance.
Rationale 2: The complaints have already been investigated. Suspension is not indicated.
Rationale 3: Since these complaints have been ongoing, even after investigation, counseling, and warnings, termination is likely the best alternative.
Rationale 4: Transferring the nurse to another department does not address the issues.
Global Rationale:
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A. Release the traction on the catheter. B. Obtain an order to remove the current catheter, allowing the client to void spon-taneously. C. Tell the client that the large size of the catheter makes him feel the urge but that the catheter is draining properly. D. Irrigate the catheter with 50 mL of normal saline every hour until the urine is no longer blood-tinged or filled with debris.
A patient is upset to hear the nurse say that the results of genetic testing revealed "wild-type" genes. What information should the nurse provide?
1. "This term means your genes are unaltered and are considered the normal type.". 2. "Your genes are considered normal for the most part but do have some limitations.". 3. "We detected some abnormalities in your genes.". 4. "The results of your genetic test were unexpected.".
The nurse would identify which of the following as an example of a strategy that represents fiscally responsible clinical nursing practice?
a. Begin discharge planning as soon as it is evident when a patient will be discharged. b. Encourage patients to consider being admitted the evening before a major surgical procedure. c. Use unlicensed personnel as much as possible in the delivery of nursing care. d. Accurately document the current status of a patient with regard to the patient's ongoing needs.
A client scheduled for electroconvulsive therapy (ECT) at 9:00 a.m. is discovered eating breakfast at 8:00 a.m. On the basis of this observation, which is the most appropriate nursing action?
A. The nurse notifies the client's physician of the situation and cancels the ECT. B. The nurse removes the breakfast tray and assists the client to the ECT procedure room. C. The nurse allows the client to finish breakfast and reschedules ECT for 10:00 a.m. D. The nurse increases the client's fluid intake to facilitate the digestive process.