Nurses working on the intermediate care unit have had many hours of overtime in the last 6 months
Before forming a team, the nurse manager gathers data about patient condition severity, staffing ratios, educational levels of staff, and personality mixes on each shift. What level of de-cision making is this process? a. Establishment of solution evaluation cri-teria
b. Evaluation of the alternative solutions
c. Identification of a problem, issue, or situ-ation
d. Search for alternative solutions or actions
C
Data should be collected to identify properly the actual problem, issue, or situation. The five core elements to decision making are the following: (1) identification of a problem, issue, or situation; (2) establishment of the criteria to be used to evaluate potential solutions; (3) search for alterna-tive solution or actions; (4) evaluation of the alternative; and (5) selection of a specific alterna-tive.
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The nurse working in the rheumatology clinic assesses clients with rheumatoid arthritis (RA) for late manifestations. Which signs/symptoms are considered late manifestations of RA? (Select all that apply.)
a. Anorexia b. Felty's syndrome c. Joint deformity d. Low-grade fever e. Weight loss
A nurse is assigned to care for a client who has been prescribed an opioid analgesic. Which of the following activities should the nurse perform as part of the preadministration assessment?
A) Document description of pain and an estimate of when the pain began. B) Obtain client's blood pressure and pulse within 5 to 10 minutes. C) Monitor the client for symptoms of respiratory depression. D) Record each bowel movement and its appearance, color, and consistency.
The nurse is teaching a pharmacology refresher class to a group of medical-surgical nurses
The nurse asks "Alosetron (Lotronex) is approved for which patient population?" Which response by one of the nurses best indicates understanding of the use of this drug? a. "It has been approved for use in women with diarrhea-predominant IBS." b. "It can be given to men with diarrhea and crampy abdominal pain due to IBS." c. "It would be indicated for pregnant women with iron-associated constipation." d. "It is approved for use in children whose growth rate is reduced because of IBS."
In assessing a patient before administration of a cardiac glycoside, the nurse knows that which lab result can increase the toxicity of the drug?
a. Potassium level 2.8 mEq/L b. Potassium level 4.9 mEq/L c. Sodium level 140 mEq/L d. Calcium level 10 mg/dL