A staff nurse is told at orientation that the department has a clinical advancement program in place. On what criterion is advancement usually based?

a. Desire for professional growth
b. Acceptance of peer feedback
c. Advanced application of nursing skills
d. Attainment of an advanced degree in nursing


C
Clinical advancement programs allow the nurse to be promoted and economically rewarded for providing direct patient care. Such programs identify levels of professional development in nursing based on increased critical thinking and advanced application of nursing skills.

Nursing

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The most likely cardiac dysrhythmia caused by anticholinergic agents postoperatively is

A) AV dissociation. B) bradycardia. C) tachycardia. D) PVCs.

Nursing

A patient being mechanically ventilated suddenly develops cardiac arrhythmias from increasingly higher PEEP. The patient most likely has which underlying physiologic issues?

1. Decreased cardiac output and acidosis 2. Increased cardiac output and alkalosis 3. Decreased cardiac output and renal failure 4. Increased cardiac output and electrolyte disturbance

Nursing

The nurse assesses a possible melanoma on the patient's skin. Which characteristic does the lesion have that is consistent with a melanoma?

a. Regular borders b. Larger than 6 mm c. Symmetrical borders d. Reddened coloration

Nursing

You are a community health nurse assigned to cover a school health office when the school's nurse is ill. A child is waiting for your arrival saying a particular medication is needed. What can you expect to find in your temporary office?

a. A nursing policy book with standing orders and nursing protocols b. A locked cabinet with medications clearly labeled with student name, as well as typical medication information (e.g., name, dose) c. Approval from the student's teacher for the student to see the nurse for the medication each day d. The student's written assent for the medication to be administered when requested e. Written request from a health care provider for that student to receive that medication f. Written request from the student's parents for the specific medication to be administered

Nursing