A registered nurse is relocating and is seeking employment at a hospital that focuses on patient safety. Which staffing issues have a negative impact on patient safety?
a. Eight-hour shifts
b. Twelve-hour shifts
c. Mandatory overtime
d. Student nurses on the unit
e. Unplanned overtime
B, C, E
Mandatory and unplanned overtime and long shifts have been shown to have a negative impact on patient safety. Staffpersons who work long shifts are at higher risk for making errors.
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The nurse knows that the primary purpose of the Patient Safety and Quality Improvement Act of 2005 was to
a. create a government agency that tracks all patient safety problems. b. encourage sharing of information to promote a culture of safety. c. mandate patient safety programs and prescribe penalties for errors. d. require hospitals create quality improvement initiatives for safety.
A patient with cardiovascular failure has a blood pressure of 80/56, a heart rate of 100, a central venous pressure of 24, and a respiratory rate of 12. Which of the following is the patient's pressure adjusted heart rate (PAR)?
1. 9.5 2. 15.0 3. 37.5 4. 48.6
The nurse is caring for a postoperative patient and notes that the patient received atropine sulfate preoperatively. Which assessment finding would prompt the nurse to notify the provider?
a. Absent bowel sounds b. Drowsiness c. Dry mouth d. Heart rate of 78 beats per minute
Which determinant of blood pressure would explain a client's blood pressure reading of 120/100?
1. Blood viscosity 2. Blood volume 3. Pumping action of the heart 4. Peripheral vascular resistance