Decentralization and shared governance were strategies first introduced in the late 1970s. Shared governance is touted as a strategy to (select all that apply):

a. improve productivity.
b. empower staff nurses.
c. increase job satisfaction.
d. increase nursing turnover.
e. decrease staff nurse autonomy.


A, B, C
Shared governance is touted as a strategy to transform organizations, improve productivity, em-power staff nurses, enhance staff nurse autonomy, increase job satisfaction, and reduce nursing turnover. This was seen as a radical departure from the traditional hierarchical hospital manage-ment structure in which nurses had little authority, little voice in governance, and low control within the organization.

Nursing

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A client is actively experiencing status epilepticus. Which prescribed medication does the nurse prepare to administer?

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The patient is scheduled for a peritoneal dialysis catheter insertion. Which information will the nurse provide prior to this procedure?

1. "The insertion site will be just below your sternum.". 2. "You will be able to care for this catheter at home.". 3. "Since you are having this procedure, you will not need a kidney transplant.". 4. "Hemodialysis can be performed through this catheter if necessary.". 5.

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What other actions may occur?

You are waiting for a RN Rosie has been working as an anaesthetic nurse for several months and she is in the anaesthetic room with Mrs A, who is to undergo a total knee replacement. Mrs A has had a premedication, which has made her drowsy, but she is clearly still very anxious and holding firmly onto Rosie's hand. Rosie notices that Mrs A's healthcare record and her consent form both state that the procedure that she is about to undergo is a right total knee replacement. The operating list in the operating suite has Mrs A listed for a left total knee replacement. Rosie asks Mrs A to clarify which knee she is having replaced and Mrs A points to her right knee, but tells Rosie that ‘both knees are bad'. Rosie checks Mrs A's legs to see whether the surgeon has marked the operative site for today's procedure and notes that this has not occurred. What will be an ideal response?

Nursing

The client with heart disease is scheduled to receive a daily morning dose of furosemide (Lasix). The nurse would report which of the following serum potassium levels to the health care provider before administering the daily dose?

1. 5.1 mEq/L 2. 4.2 mEq/L 3. 3.8 mEq/L 4. 3.0 mEq/L

Nursing