The nurse notices that there are four boxes of 180-gauge IV start ...

[MGLQZ]

The nurse notices that there are four boxes of 180-gauge IV start catheters in the supply room even though the standard IV start on the unit is done with a 20-gauge IV catheter. What should the nurse do?
 
  1. Consult with the nurse manager about the situation.
  2. Send the catheters back to central supply.
  3. Send the catheters to a unit that uses this size.
  4. Start using 18-gauge catheters for IV starts on the unit.

Question 2

The nurse executive of a major medical center and the dean of a school of nursing have entered into an affiliation agreement.
 
  The medical center will supply clinical sites and preceptors to students and the nursing school will supply research expertise and other academic support. How will this affiliation affect the medical center's plans to implement evidence-based practice (EBP) and evidence-based management (EBM)? 1. This affiliation should have very little effect on these two initiatives.
  2. The affiliation should be helpful in initiating these practice and management styles.
  3. The affiliation will help with EBP, but will likely have little effect on EBM.
  4. The affiliation will help with EBM, but will likely have little effect on EBP.

[Jossy]

Answer to Question 1

1
Explanation: 1. In many instances, nurse managers are not involved in direct care, so the manager may not realize the catheters are in the supply room. If these catheters are not used, their sterility dates will expire and they will be a loss to the unit's budget.
2. This action should not be done without talking to the manager.
3. This should not be done because the cost of the catheters will still be charged to the originating unit.
4. Nurses should not change procedures just to use up supplies.

Answer to Question 2

2
Explanation: 1. The affiliation should be helpful to both initiatives.
2. This sharing of expertise between nursing staff and nursing faculty should be of benefit to both EBP and EBM.
3. The affiliation should be helpful to both initiatives.
4. The affiliation should be helpful to both initiatives.