The nurse observes a lack of urine output in a patient recovering from bladder surgery. Prior to notifying the health care provider, the nurse gently irrigates the tubing and dislodges a small blood clot. Immediately the urine begins to flow
This nurse's intervention demonstrates which level of clinical nursing practice? 1. Novice
2. Competent
3. Advanced beginner
4. Expert
4
Rationale 1: The novice nurse would not have the experience to do this intervention.
Rationale 2: The competent nurse might consult a textbook prior to implementing this intervention.
Rationale 3: The advanced beginning nurse would not have the experience to do this intervention.
Rationale 4: The expert nurse has the skill and experience to recognize a condition and implement activities to suit the individual patient's needs. The nurse realized that because the patient was recovering from bladder surgery, there was a chance that a blood clot could be occluding the flow of urine. The nurse's action dislodged the clot and resumed the flow of urine.
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A patient who has been taking a glucocorticoid for several months arrives in the clinic. The nurse notes that the patient's cheeks appear full and that a prominent hump of fat is present on the up-per back
The nurse will ask the provider to order which test(s)? a. Liver function tests b. Serum electrolytes c. Tuberculin skin test d. Vitamin D levels
The injection of a local anesthetic to block specific nerve pathways is referred to as which of the following?
A) Amnesic medication B) Gas administration C) Natural anesthesia D) Regional block
A new graduate nurse is setting career goals. The nurse has decided to work in the operating room of a county hospital for three years while pursuing a degree as an advanced practice nurse. Which type of goal is this?
a. long-term c. initial b. intermediate d. short-term
While working in the prenatal clinic, you care for a very diverse group of patients. When planning interventions for these families, you realize that acceptance of the interventions will be most influenced by:
a. Educational achievement. c. Subcultural group. b. Income level. d. Individual beliefs.