As a member of the budgeting committee, the nurse manager reviews the salaries for file clerks in the accounting department. These salaries should be included in which budget item?
1. The fixed cost
2. The variable cost
3. The indirect cost
4. The direct cost
3
Rationale 1: Fixed costs are costs that will remain the same for the budget period regardless of the activity level of the organization.
Rationale 2: Variable costs depend on and change in direct proportion to client volume and acuity.
Rationale 3: Indirect costs are expenditures that are necessary but do not affect client care directly.
Rationale 4: Direct costs are expenses that directly affect client care such as nursing personnel who provide hands-on client care.
Global Rationale:
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A nurse cares for a client who is prescribed vasopressin (DDAVP) for diabetes insipidus. Which assessment findings indicate a therapeutic response to this therapy? (Select all that apply.)
a. Urine output is increased. b. Urine output is decreased. c. Specific gravity is increased. d. Specific gravity is decreased. e. Urine osmolality is increased. f. Urine osmolality is decreased.
A patient in the intensive care unit has abdominal cramping and is suspected of having a small intestine obstruction. Which finding on auscultation of the abdomen would tend to confirm this suspicion?
A) High-pitched tinkling and rushing sounds B) High-pitched, rapid, and loud sounds C) Soft bubbling sounds with clicks and gurgles D) Absent bowel sounds
The Institute of Medicine (IOM) identified essential competencies that are necessary to move health care into the 21st century. The competencies consist of:
A. Employing the use of evidence-based practice (EBP). B. Providing client-centered care. C. Utilizing informatics. D. All of the above.
A patient is scheduled to have a pacemaker implanted. The nurse knows pacemakers can be inserted to correct what problem?
A) Increased blood pressure B) Increased pulse pressure C) Malfunction of the sinuatrial (SA) node D) Onset of oncotic pressure