In strategic planning for the upcoming year, the hospital has decided to institute a hiring freeze. Nurses who are terminated or choose to leave positions within the facility will not be replaced. What is the potential result of this decision?

1. This will increase the hospital's long-term profits.
2. The quality of nursing care will increase as the nurses who were not committed to the facility leave.
3. The hospital is likely to see a long-term financial loss.
4. The hospital will earn a reputation as being efficient and precise in the delivery of care.


3
Rationale 1: It is more likely that quality of care will decrease, resulting in potential liability and development of a tarnished reputation.
Rationale 2: There is a point where even the most qualified and caring nurses can no longer provide high quality care to an overload of patients.
Rationale 3: The hospital may enjoy a temporary short-term rise in profits. However, this scenario is likely to result in a decrease in quality of care and a subsequent increase in legal liability.
Rationale 4: Overworked nurses do not result in a reputation for efficient and precise care.

Nursing

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The patient that has a bipolar hip replacement following an intracapsular fracture has an order to be turned every 2 hours. The nurse understands that the correct nursing intervention is to keep the legs:

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Which findings would the nurse utilize to identify the level of acute kidney injury in a patient?

A) Blood urea nitrogen levels B) Ratio of fluid intake to fluid output C) Blood pressure readings D) Serum creatinine levels and urinary output

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On the first postoperative day after a transurethral prostatectomy, the client says that the catheter must not be working properly because he feels the urge to urinate. What is the nurse's best action?

A. Release the traction on the catheter. B. Obtain an order to remove the current catheter, allowing the client to void spon-taneously. C. Tell the client that the large size of the catheter makes him feel the urge but that the catheter is draining properly. D. Irrigate the catheter with 50 mL of normal saline every hour until the urine is no longer blood-tinged or filled with debris.

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A nurse is presenting information to community members about the potential development of a retail care clinic in the neighborhood. Which of the following information would the nurse in-clude in this presentation?

a. These clinics are typically staffed by phy-sicians. b. These clinics are usually located in com-munity centers. c. These clinics focus on providing infor-mation related to health promotion. d. These clinics are often owned by for-profit organizations.

Nursing