Author Question: The nurse manager of an NICU is planning continuing education for the development of the staff. The ... (Read 122 times)

bclement10 · **on:** Jul 22, 2018

The nurse manager of an NICU is planning continuing education for the development of the staff. The manager is asking an expert to conduct a class regarding the maintenance of the swan-gantz catheter in postoperative heart clients.

The manager determines that goals have been met when: 1. The staff can set up the line in the class room.
2. The staff uses the information on the unit with a client successfully.
3. The staff states that they feel competent about using the product.
4. The unit educator states that the nurses passed the written exam.

Question 2

The nurse caring for a child with disseminated intravascular coagulation (DIC) would identify which of the following as being a priority nursing intervention for this child?

1. Frequent ambulation
2. Maintenance of skin integrity
3. Monitoring of fluid restriction
4. Preparation for radiograph procedures

SAUXC · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2 The staff uses the information on the unit with a client successfully.

Rationale:
The best way to know that staff development has been effective is to see the staff use the knowledge to perform the function successfully on a client. Most nurses can demonstrate competence immediately after a lecture; the real determinant of learning is whether they can use the information in their practice. A nurse may be able to perform a procedure in the classroom but may not be able to execute it two weeks later with a client. Feeling competent does not necessarily mean that the nurse knows how to perform a procedure. Passing a written exam and executing a skill are two different entities; nurses may have the knowledge but not be able to perform the skill.

Answer to Question 2

2. Maintenance of skin integrity

Rationale:
Impairment of skin integrity can lead to bleeding in DIC. The child with DIC should be placed on bed rest. Fluids need to be monitored but will not be restricted. DIC is not diagnosed with radiograph examination but by serum lab studies.