The nurse manager is implementing a shared governance model to help with communication and decision making. Although staff members like the concept, change is difficult. Staff nurses feel:
a. More empowered.
b. More communicative.
c. Less stressed.
d. More powerless and devalued.
ANS: D
Change can lead to feelings of being overwhelmed and powerless, especially if complexity compression or rapid, intense changes have been involved.
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A patient with allergic rhinitis is taking a compound product of loratadine/pseudoephedrine [Claritin-D] every 12 hours. The patient complains of insomnia. The nurse notes that the patient is restless and anxious
The patient's heart rate is 90 beats per minute, and the blood pressure is 130/85 mm Hg. The nurse will contact the provider to: a. discuss using an intranasal glucocorticoid and loratadine [Claritin]. b. report acute toxicity caused by pseudoe-phedrine. c. suggest using an agent with a sympatho-mimetic drug only. d. suggest using a topical decongestant to minimize systemic symptoms.
What acid-base problem could result if a client being mechanically ventilated is ventilated at too high a rate of breaths per minute?
A. Acid deficit alkalosis B. Base excess alkalosis C. Acid excess acidosis D. Base deficit acidosis
A patient who is 36 years old, weighs 200 pounds, is monogamous, and does not smoke desires birth control. The nurse understands that which contraceptive method is inappropriate for this patient?
1. Intrauterine device 2. Vaginal sponge 3. Combined oral contraceptives 4. Transdermal hormonal contraception
A nurse develops a plan of care for a client who is receiving a series of electroconvulsive therapy (ECT) treatments in a hospital. Which should be the priority nursing diagnosis for this client?
A) Anxiety related to receiving ECT B) Knowledge deficit related to receiving ECT C) Confusion related to the side effects of ECT D) Risk for injury related to the risks and side effects of ECT