The nurse manager identified that the census was higher than anticipated and the client acuity level was also high; however, there were fewer nursing hours paid. This variance is an example of which budgetary variance?
1. Efficiency
2. Nonsalary expenditure
3. Rate
4. Volume
1
Rationale 1: Efficiency variance is a reflection of the difference between budgeted and actual nursing care hours provided.
Rationale 2: Nonsalary expenditure variance is a deviation from the budget as a result of changes in client volume, supply quantities, or prices paid.
Rationale 3: Rate variance is the difference between budgeted and actual hourly rates paid.
Rationale 4: Volume variances are the differences in the budget as a result of increases or decreases in patient volume.
Global Rationale:
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A client arrives in the emergency department after being in a car crash with fatalities. The client has a nearly amputated leg that is bleeding profusely. What action by the nurse takes priority?
a. Apply direct pressure to the bleeding. b. Ensure the client has a patent airway. c. Obtain consent for emergency surgery. d. Start two large-bore IV catheters.
The nurse is working with a client who recently began wearing hearing aids. The nurse should instruct the client on:
1. Care and cleaning requirements. 2. Wearing the devices when needed. 3. Wearing the devices at night. 4. Leaving the devices on at all times.
The nurse on the rehabilitation unit is caring for a client who recently suffered a brain attack. The nurse anticipates that the client will be prescribed antidepressants since clients who take them following a brain attack find that the drugs:
A) Help improve their seizures. B) Do not do much for their symptoms. C) Do not ease the depression, but improve their memory. D) Ease the depression and cognitive impairment.
What could a nurse say who believed that a nursing student has a duty to understand pertinent clinical information to make sound clinical judgments?
a. "Sometimes work does get in the way of studying." b. "Nursing school is difficult, and striving for average is understandable." c. "You should be honest when critically reflecting on your strengths and weaknesses." d. "Experience after nursing school will provide real nursing knowledge."