You are the nursing supervisor on the 11 PM to 7 AM shift. When ...

[jCorn1234]

You are the nursing supervisor on the 11 PM to 7 AM shift. When making rounds, the charge nurse on the unit reports that one of the patients is dyspneic.
 
  What action would be expected from a nurse in the expertise stage of clinical competence when assessing shortness of breath in a patient?
  a. Recognizes the patient may have pulmo-nary edema and orders (or asks the physi-cian for an order) an IVP diuretic
  b. Places a patient complaining of shortness of breath in high-Fowler's position after hearing coarse crackles and rhonchi and obtaining a pulse oxygenation of 88
  c. Increases the oxygen concentration
  d. Notifies the instructor of the patient's complaints

Question 2

What step in the employment process may have been omitted when the staff appears to be nerv-ous and overly cautious around a new nurse manager?
 
  a. Involvement of human resources in the interview process
  b. Involvement of the upper-level manager in the interview process
  c. Involvement of the staff in the interview process
  d. Involvement of the middle-level manager in the interview process

[micaelaswann]

Answer to Question 1

ANS: A
The expert nurse typically is the advanced nurse practitioner who has the ability to make clinical judgments and direct care. The other options are appropriate for a nurse at a different level of nursing.

Answer to Question 2

ANS: B
The upper-level manager may have been omitted from the process. Human resources must be in-volved in the employment process. Staff members would not intimidate the new employee. The middle-level manager is key in the process.