The nurse manager is explaining the organizational staffing policy to a newly hired nurse. The nurse will be scheduled on an as-needed basis. The manager explains this policy is a supplemental scheduling policy
Which staffing strategies would be included in this policy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Contracting with outside agency nurses
2. A decentralized float pool
3. Using nonlicensed personnel as substitutes for nurses
4. Establishing an internal float pool of nurses who are cross trained
5. Developing a float pool of nurses shared with another hospital in the system
1,2,4,5
Rationale 1: Agency nurses can be used as supplements, but their cost can be significant.
Rationale 2: A decentralized float pool provides personnel who usually work only for one nurse manager or only on one unit.
Rationale 3: Nonlicensed personnel cannot be used as substitutes for nurses.
Rationale 4: This can be an effective way to provide supplementary staff.
Rationale 5: This is an innovative idea that creates a system-wide internal float pool.
Global Rationale:
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A home health nurse, while in the home to change a decubitus dressing, notices that the wound has a musky odor and is weepier than the previous visit, 2 days earlier. Place the following nurs-ing interventions in order of priority from most to least
(Separate the letters with a comma and space: A, B, C, D.) A. Contact the case manager. B. Assess the patient's entire skin and vital signs and be prepared to describe the wound findings. C. Cleanse the decubitus area well and redress the wound. D. Chart the appearance of the decubitus completely. D. Assess the patient's mobility.
The nurse is preparing to administer a dose of epoetin alfa to a patient and notes that the patient has a hemoglobin level of 11.7 gm/dL. Which action by the nurse is correct?
a. Administer the dose as ordered. b. Hold the dose and notify the provider. c. Request an order for a reduced dose. d. Suggest that the provider increase the dose.
By what route do oxygen and carbon dioxide exchange in the lung?
A) osmosis B) filtration C) diffusion D) active transport
The nurse is caring for a 7-year-old girl who is undergoing a stem cell transplant. What information would the nurse include in the child's postoperative plan of care?
A) Assessing for petechiae, purpura, bruising, or bleeding B) Limiting blood draws to the minimum volume required C) Administering antiemetics around the clock as ordered D) Monitoring for severe diarrhea and maculopapular rash