A nurse is having difficulty understanding why a particular nursing intervention is not successful in helping a patient achieve his health care goals. Which of the following should the nurse do first?
1. Identify the problem.
2. Conduct a literature review.
3. Design the sampling plan.
4. Conduct a pilot study.
Identify the problem.
Rationale: The first step in any research process is to identify a researchable problem. A researchable problem is a situation in need of a solution, alteration, or improvement. It is an area of concern for a particular population that requires investigation and it is derived from a topical area. Conducting a literature review, designing a sampling plan, and conducting a pilot study would all be done after the problem has been identified.
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Nursing involves many areas for client education. Areas that the nurse may reinforce teaching with the client regarding adapting to altered health and function include Standard Text: Select all that apply
1. Health screening 2. Nutrition 3. Problem solving skills 4. Strategies to deal with problems 5. Facilitation of a strong self image
A patient with end-stage liver disease has developed hypervolemia. What nursing interventions would be most appropriate when addressing the patient's fluid volume excess? Select all that apply
A) Administering diuretics B) Administering calcium channel blockers C) Implementing fluid restrictions D) Implementing a 1500 kcal/day restriction E) Enhancing patient positioning
A patient is being treated for a massive myocardial infarction. His wife has just arrived in the emergency department and grabs the nurse's arm demanding to know what is happening. Which initial nursing response is indicated?
1. "Your husband needs my full attention right now." 2. "Someone call security." 3. "Take your hands off me." 4. "Please go back to the waiting area."
After reviewing her monthly budget report, the nurse manager sees that she has a negative variance, which prompts her to change the staffing schedule. A negative or unfavorable variance in a monthly expense report may result from:
a. Overestimation of inflation. b. Higher than expected client acuity. c. Net revenue exceeding net expenses. d. Not replacing staff who called in sick.