A new nurse is comparing her education with a senior staff member who attended nursing school in the 1960s. The younger nurse recognizes what characteristic was common during the 1960s?
A) Associate's degree programs were just beginning.
B) Diploma education was on the decline.
C) The majority of nurses were educated in colleges and universities.
D) Enrollment in baccalaureate programs was decreasing.
A
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A client has been brought to the emergency department with a life-threatening chest injury. What action by the nurse takes priority?
a. Apply oxygen at 100%. b. Assess the respiratory rate. c. Ensure a patent airway. d. Start two large-bore IV lines.
A client with a dissociative identity disorder tells the nurse that he or she is having thoughts of self-injury. The nurse knows that it is important to assist the client to identify alternative actions to self-injury
What are these actions? (Mark all that apply.) A) Written methods of expression B) Describing what he or she wants to do to the nurse C) Physical exercise D) Asking for medicine to decrease anxiety E) Task-oriented activities
A client in labor with the fetus in the vertex position has a spontaneous rupture of membranes. The nurse sees that the amniotic fluid is meconium-stained and immediately:
1. Changes the client's position in bed. 2. Notifies the physician that birth is imminent. 3. Administers oxygen at 2 liters per minute. 4. Begins continuous fetal heart rate monitoring.
Which of the following accurately describes the mechanism of action of digoxin?
A. Digoxin binds to and inhibits Na/K ATPase. Inhibition of Na/K ATPase increases intracellular concentration of Na+ ions. Increased intracellular Na+ decreases the activity of the Na/Ca exchanger and allows intracellular Ca++ concentrations to increase. Increased intracellular Ca++ increases the formation of actinomyosin and increases the force of myocardial contractions. B. Digoxin binds to and inhibits Na/K ATPase. Inhibition of Na/K ATPase decreases intracellular concentration of Na+ ions. Decreased intracellular Na+ increases the activity of the Na/Ca exchanger and allows intracellular Ca++ concentrations to decrease. Decreased intracellular Ca++ increases the formation of actinomyosin and increases the force of myocardial contractions. C. Digoxin stimulates Na/K ATPase. Stimulation of Na/K ATPase increases intracellular concentration of Na+ ions. Increased intracellular Na+ decreases the activity of the Na/Ca exchanger and allows intracellular Ca++ concentrations to increase. Increased intracellular Ca++ increases the formation of actinomyosin and increases the force of myocardial contractions. D. None of the above are correct.