Nokea
An expensive variable in salary budgets is overtime pay. Which of the following is a viable option to reduce overtime?
- A. Limiting overtime for highly paid workers
- B. Reducing the number of beds
- C. Using per diem workers
- D. Refusing to pay overtime
Correct Answer: C
Rationale: The correct answer is C: Using per diem workers. This option is viable because per diem workers can be brought in to cover shifts without incurring overtime costs. By utilizing per diem workers, the organization can reduce the need for regular staff to work overtime hours, hence decreasing overall overtime expenses.
A: Limiting overtime for highly paid workers is not a practical solution as all workers, regardless of pay, may contribute to the need for overtime.
B: Reducing the number of beds may lead to reduced capacity and impact patient care, not directly addressing the issue of reducing overtime.
D: Refusing to pay overtime is not a sustainable solution as it may lead to legal issues and impact employee morale and productivity.
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When a client experiences a major incident, what is the time frame for reporting the incident?
- A. 24 hours.
- B. 36 hours.
- C. 48 hours.
- D. 72 hours.
Correct Answer: A
Rationale: The correct answer is A: 24 hours. Reporting a major incident within 24 hours is crucial for prompt resolution and mitigation of potential impacts. This timeframe allows for timely assessment, communication, and implementation of necessary actions. Reporting within 24 hours enables the organization to adhere to regulatory requirements, maintain transparency, and initiate the incident management process effectively. Choices B, C, and D are incorrect as delaying reporting beyond 24 hours can result in increased risks, hinder the organization's ability to respond effectively, and may lead to non-compliance with regulations.
A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate?
- A. Droplet precautions
- B. Protective environment
- C. Airborne precautions
- D. Contact precautions
Correct Answer: D
Rationale: The correct answer is D: Contact precautions. This is because purulent drainage indicates the presence of infectious material that can easily be transmitted through direct contact. By implementing contact precautions, the nurse can prevent the spread of infection to themselves and others. Droplet precautions (A) are used for pathogens spread through respiratory droplets, protective environment (B) is used for immunocompromised patients, and airborne precautions (C) are used for pathogens that remain suspended in the air. These precautions are not relevant to the situation described with purulent drainage.
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?
- A. Pad the client's wrists before applying the restraints.
- B. Evaluate the client's circulation every 8 hours after application.
- C. Secure the restraint ties to the bed's side rails.
- D. Remove the restraints every 4 hours to evaluate the client's status.
Correct Answer: C
Rationale: The correct answer is C: Secure the restraint ties to the bed's side rails. This is important for ensuring the client's safety and preventing harm. Attaching the restraints to the side rails allows for proper immobilization without causing injury or restricting circulation. Padding the client's wrists (choice A) can be uncomfortable and ineffective. Evaluating circulation every 8 hours (choice B) is not frequent enough for monitoring potential issues. Removing restraints every 4 hours (choice D) can increase the risk of injury and should only be done as necessary.
Within the fast-paced, changing healthcare environment, job satisfaction will influence your success. What other characteristic is an asset?
- A. Being friendly
- B. Humility
- C. Ability to anticipate consequences
- D. Flexibility
Correct Answer: D
Rationale: The correct answer is D: Flexibility. In a fast-paced healthcare environment, being flexible is crucial to adapt to changes quickly. It allows you to navigate uncertainties, respond to new challenges, and adjust your approach as needed. Being friendly (A) is important but not as critical as flexibility. Humility (B) is valuable but may not directly impact success in a dynamic environment. While the ability to anticipate consequences (C) is beneficial, it does not provide the same level of adaptability and versatility as flexibility does in a rapidly changing healthcare setting.
Upon noticing a visitor who is loud and active and carrying a gun on the unit where you are in charge, what should you do immediately?
- A. Ask the visitor to leave.
- B. Talk quietly to calm the visitor.
- C. Ask the visitor for the gun.
- D. Notify security with the details of the situation.
Correct Answer: D
Rationale: The correct answer is D: Notify security with the details of the situation. This is the best course of action to ensure the safety of everyone involved. By immediately notifying security, who are trained to handle such situations, you are taking proactive steps to de-escalate the potential threat and protect the well-being of the staff and other visitors. Asking the visitor to leave (choice A) may escalate the situation further. Talking quietly to calm the visitor (choice B) is not appropriate when a gun is involved as it could agitate the individual. Asking the visitor for the gun (choice C) is extremely risky and could lead to a dangerous confrontation.