A nurse manager has to submit a proposal to the administration for the staffing needs of the intensive care unit. The nurse manager will be working with what type of budget?

a. Operating budget
b. Revenue-and-expense budget
c. Personnel budget
d. Capital expenditure budget


ANS: C
Personnel budgets estimate the cost of direct labor required to fulfill the agency's objectives. The nurse manager decides on the types of nursing care necessary to meet the nursing needs of the estimated patient population.

Nursing

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Following an implantation of a valve prosthesis, the nurse assesses the patient for the possible complication of:

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The following can be used to assist in sound clinical decision-making:

A. Algorithm published in a peer-reviewed journal article B. Clinical practice guidelines C. Evidence-based research D. All of the above

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An elder client is being prepared for transfer to a long-term care facility and expresses sorrow at not being able to return to his own home. The nurse can best help the client cope with this change by:

A) explaining why it is necessary to move to the new facility. B) explaining why it would be unsafe to remain in his own home. C) showing him pictures of the new facility. D) asking him to tell you about significant events in his life.

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The nurse is performing a postpartum assessment on a newly delivered patient. When checking the fundus, there is a gush of blood. The patient asks why that is happening. The best response is:

1. "We see this from time to time. It's not a big deal." 2. "The gush is an indication that your fundus isn't contracting." 3. "Don't worry. I'll make sure everything is fine." 4. "Blood has pooled in the vagina while you were in bed."

Nursing