Which of the following is a responsibility of an institutional review board (IRB)?
A) Secure informed consent for researchers
B) Review written accuracy of research proposals
C) Determine risk status of all studies
D) Secure funding for institutional research
Ans: C
Federal regulations require that institutions receiving federal funding, or conducting studies of drugs or medical devices regulated by the Food and Drug Administration establish IRBs. The IRB reviews all studies conducted in the institution to determine risk status and to ensure that ethical principles are followed. The IRB does not secure informed consent, review the accuracy of proposals, or secure funding.
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The notion of staggering the implementation of the system is determined during the planning phase by committee members. The rationale behind staggering the implementation of the new system can be related to which of the following statements?
1. The decision to incorporate a roll out model of implementation can be used to identify issues before the entire system goes live. 2. Staggering allows staff members to become more familiar with the new technology. 3. Budgetary constraints are the main factors in determining whether a system should be staggered or fully implemented. 4. Nurses and staff need additional time to accept an unwanted technological change.
In a client with addisonian crisis, assessment would indicate that the drug Kayexalate is not effective when the nurses assesses the clinical manifestation of
a. decreasing blood pressure. b. low back pain. c. pedal edema. d. rapid or erratic pulse.
A nurse is working with colonias. Which of the following considerations should be made by the nurse?
a. They have developed roads, transporta-tion, and electrical services. b. They are frequently driven off, only to return to the same area. c. Their settlements have led to an increase in several disease conditions. d. Their contributions have improved the lo-cal economy.
Erin Jeffreys is a nurse in a clinic that provides care for migrant farm workers and their families. On Monday, Erin cared for Delores Perez, a 33-year-old who is approximately 5 months pregnant with her sixth child
Through an interpreter, Erin learns that Delores is experiencing abdominal cramping. Which of the following would be the best response for Erin? 1. Call the local county extension program agent, who coordinates services for migrant farm workers and their families, to determine what service will be financed by the county. 2. Contact a local lay-midwife who is Spanish-speaking to see whether she can care for Delores, because Erin is aware that most migrant farm workers use this midwife to deliver their children. 3. Further assess Delores's abdominal pain before making any decisions. 4. Insist that Delores's husband take her to the nearest hospital with a labor and delivery immediately, because she may be in labor and the drive is almost 2 hours.