The director of two nursing units is off on medical leave. The morale on these units has decreased over the past year. During the director's absence the chief nurse officer (CNO) notices a marked increase in the staff's morale
This causes the CNO to be concerned about which factor on these two units? 1. Lack of appropriate staffing when the manager is present
2. Recognition of the nurse's performance may be lacking
3. A lack of authentic leadership
4. The manager may have unrealistic attitudes about staff work levels.
3
Rationale 1: Lack of appropriate staffing is not the overriding concern.
Rationale 2: While this may be a part of the problem, it is not the major concern.
Rationale 3: Authentic leadership is required for a healthy work environment. Since the morale on these units has increased in the director's absence, the CNO would be concerned about the manager's leadership style.
Rationale 4: This is not the primary concern.
Global Rationale:
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A hospital patient's medication administration record specifies concurrent doses of nebulized ipratropium and albuterol at 08:00 and 20:00 . When administering these drugs, which of the following statements is true?
A) The two drugs should be administered at least 30 minutes apart, with ipratropium administered first. B) The two drugs can be mixed in the nebulizer immediately before administration. C) The two drugs should be administered at least 30 minutes apart, with albuterol administered first. D) The nurse should contact the prescriber due to the increased risk of adverse effects when these drugs are administered concurrently.
A client who abuses alcohol has been placed on naltrexone (Trexan). What information should be included in the client education about the effects of this medication?
1. The client may discontinue its use in alcohol abuse treatment. 2. If alcohol is ingested, the client may experience a lethal reaction. 3. The client needs to avoid use of over-the-counter products that contain alcohol. 4. If alcohol is ingested, the client will feel less "high."
The nurse has a patient with a tunneled central line with a triple-lumen catheter. The insertion site is covered by an occlusive dressing with yesterday's date on it. The nurse is to give an IV drug through the central line
The nurse would initially: 1. use any of the three ports for delivery. 2. change the occlusive dressing. 3. affirm catheter placement by withdrawing 3 mL of blood. 4. check dilution of the drug.
Which of the following is a common adverse effect of furosemide (Lasix)?
1. Weight gain 2. Bradycardia 3. Hypotension 4. Vomiting