A new graduate licensed practical/vocational nurse has recently begun working in a new nursing home and has been informed by the manager that she will be responsible to care for clients requiring mechanical ventilation.
The nurse has never cared for a client requiring mechanical ventilation, but did learn how to suction a trachea and read about caring for a client requiring mechanical ventilation. What should the nurse do in this situation?
A) Care for the clients because it is an expectation of her job, and she has a license allowing her to care for the clients
B) Watch other nurses caring for clients requiring mechanical ventilation to get an idea of how to care for the clients before caring for her clients
C) Ask the respiratory therapist to show her how the mechanical ventilator works before caring for the clients assigned, and enroll into classes to learn about caring for clients requiring mechanical ventilation
D) Ask the manager for further teaching and training about caring for clients requiring mechanical ventilation and admit that she has never cared for a client needing such care
Question 2
Hospital administration is considering a fundamental reorganization of the way that nursing care is provided in the medicalsurgical units.
The administration would like to provide more people to care for the clients' every need. To do this, the administration plans to decrease registered nurses (RN) and replace them with more unlicensed assistive personnel (UAPs) and fewer licensed practical nurses (LPN). Which is the most important consideration to base a decision regarding reorganization for nursing care delivery?
A) Cost analysis supports the change, providing more profit for the hospital, a decrease in costs to clients and insurers, and a potential for increased market because of an increase in client satisfaction.
B) Previous research studies support that a decrease in licensed professional nurses at the bedside increases rates of mortality, increases hospital-acquired infections and complications, and increases the rate of medication and procedural errors.
C) A consumer poll of clients and families supports providing more persons at the bedside to care for them when they are hospitalized; clients and families expressed that they would feel safer when more people cared for their every need.
D) A risk-to-benefit analysis supports a trial of the reorganization based upon the gain of profits versus the potential loss in any potential for lawsuits or mishaps of not identifying an unstable client in time and transferring the client to a critical care unit.
When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
The nurse can make observations about the patient's general appearance while talking with the p
The nurse applies a pulse oximeter sensor on the client’s finger.
A Recently Discovered Member of the Local Group
Responsibilities of the nurse manager
Nursing history for abdominal assessment