A nurse consistently remains past her shift for report or charting. The amount of overtime accu-mulated is equivalent to a full-time nurse's salary for 1 month
The nurse manager counsels the nurse and emphasizes that one of the responsibilities to the insti-tution is
a. quality patient care.
b. fiscal accountability.
c. accurate documentation.
d. accurate medication administration.
ANS: B
This particular nurse appears to have no sense of fiscal accountability to the institution. Fiscal re-sponsibility is as vital to the success of the institution as is quality patient care. The other options describe important responsibilities, but the question is not about the nurse's care that is provided but about the organization of her time.
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A patient is admitted to the critical care unit after sustaining a head injury. Based on the injury, it is determined that there is a decrease in ADH. Which of the patient's symptoms would alert the medical team to a possible decrease in ADH?
a. Rapidly escalating hypertension c. Pulmonary edema b. Massive diuresis d. Hyperkalemia
Before the administration of morphine to a 65-year-old man who has cancer, the initial action of the nurse would be to check the patient's
A) apical pulse and compare it with the radial pulse. B) blood pressure. C) temperature. D) respiratory rate, depth, and rhythm.
How is the Whipple triad described? (Select all that apply.)
a. Symptoms of hypoglycemia are present. b. Low blood glucose levels are documented when symptoms are present. c. Symptoms can be reproduced with an in-jection of regular insulin, 10 units. d. Muscular activity does not have any effect on blood glucose. e. Symptoms improved when the blood glu-cose level rises.
The nurse hears a parent say to a child, "If you behave, we'll stop and get you an ice cream cone when we're done here." What should the nurse realize is occurring with the parent?
1. rewarding behavior with food 2. frustration with the child's behavior 3. anxiety due to parenting 4. hunger as a motivating factor