A nurse who works in a medical care unit is told that she must float to the intensive care unit because of a short-staffing problem on that unit. The nurse reports to the unit and is assigned to three clients. The nurse is angry with the assignment because she believes that the assignment is more difficult than the assignment delegated to other nurses on the unit and because the intensive care unit nurses are each assigned only one client. The nurse should most appropriately:
A. Refuse to do the assignment
B. Tell the nurse manager to call the nursing supervisor
C. Ask the nurse manager of the intensive care unit to discuss the assignment
D. Return to the medical care unit and discuss the assignment with the nurse manager on that unit
Answer: C. Ask the nurse manager of the intensive care unit to discuss the assignment
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The correct order of actions in the management of the postoperative surgical trauma patient who has been admitted to the critical care unit after surgery is: _______________, _______________, _______________,_______________
(Put a comma and space between each answer choice.) a. Connect the patient to bedside monitor and mechanical ventilator. b. Obtain vital signs, rhythm, oxygen saturation, and neurological status. c. Assess airway, breathing, and circulation. d. Reassess and evaluate patency of IV lines, and adjust rate of fluid administration as ordered.
An older adult says to the nurse, "I don't know why I can't handle booze like I used to when I was younger." The nurse's response is based on the knowledge that:
a. older adults develop higher blood alcohol levels due to age-related changes in the neurological system. b. older adults develop higher blood alcohol levels due to age-related changes that alter absorption and filtration of alcohol. c. older adults develop higher blood alcohol levels due to slowed reaction times. d. older adults develop higher blood alcohol levels due to cognitive changes.
A patient is withdrawn and avoids talking to the nurse. The best initial intervention for the nurse would be to
a. offer to listen and help. b. directly ask why the patient does not wish to talk. c. involve the patient in a group activity to decrease isolation. d. respect the patient's desire not to talk and leave the patient alone.
A 45-year-old man is brought to the emergency department presenting with a respiratory rate of 6 breaths/min, and cardiac dysrhythmias. What is the most appropriate question the nurse should ask the patient's friend?
a. "Does he take amphetamines or uppers?" b. "Has he ever used LSD?" c. "Have you two been out of the country in the last 2 days?" d. "Is he using any opioids such as heroin?"