Several nurses are elected by their peers to serve on a negotiating committee to recommend new healthcare benefits. After the new benefits plan is developed and approved, which action is most important for the nurses working on this committee to implement?
Announce the new plan at a special employee wellness event.
Determine staff opinion of current healthcare insurance costs.
Survey the nurses to see who wants to keep the old benefits plan.
Be available to all shifts to discuss the changes in health benefits.
The Correct Answer is D
Choice A Reason: Announcing the new plan at a special employee wellness event may be a good way to promote the plan and celebrate the achievement, but it is not the most important action. The nurses working on the committee should first communicate the plan to their colleagues and address any questions or concerns they may have.
Choice B Reason: Determining staff opinion of current healthcare insurance costs may be useful for evaluating the need and feasibility of the new plan, but it is not the most important action. The nurses working on the committee should have done this before developing and approving the new plan, not after.
Choice C Reason: Surveying the nurses to see who wants to keep the old benefits plan may be helpful for assessing the satisfaction and acceptance of the new plan, but it is not the most important action. The nurses working on the committee should have considered the preferences and needs of their colleagues during the development and approval of the new plan, not after.
Choice D Reason: Being available to all shifts to discuss the changes in health benefits is the most important action for the nurses working on the committee to implement, as it shows respect and transparency for their colleagues, and fosters a collaborative and supportive work environment. The nurses working on the committee should explain the rationale and benefits of the new plan, and provide feedback and guidance to their colleagues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason: This is the correct answer because the client's vital signs indicate that she is hypovolemic and dehydrated due to the leakage of gastric contents from the anastomosis site. The nurse should replace fluids intravenously to prevent shock and electrolyte imbalance.
Choice B Reason: Recording the amount of daily wound drainage is important but not the most important intervention for this client because it does not address the immediate problem of fluid loss and hypovolemia. The nurse should monitor the wound drainage for signs of infection and report any changes to the physician.
Choice C Reason: Assessing skin condition and turgor for breakdown is important but not the most important intervention for this client because it does not address the immediate problem of fluid loss and hypovolemia. The nurse should assess the skin for signs of dehydration and pressure ulcers and provide appropriate skin care.
Choice D Reason: Turning every 2 hours around the clock from side-to-side is important but not the most important intervention for this client because it does not address the immediate problem of fluid loss and hypovolemia. The nurse should turn the client to prevent complications such as pneumonia and atelectasis but also consider the client's comfort and pain level.
Correct Answer is A
Explanation
Choice A reason: Ceftriaxone is an antibiotic that can be given by gravity infusion without an IV pump, as long as the nurse monitors the flow rate and adjusts the roller clamp as needed. The dose and duration of ceftriaxone are usually fixed and not affected by minor fluctuations in the infusion rate.
Choice B reason: Heparin is an anticoagulant that requires a precise and constant infusion rate to prevent bleeding or clotting complications. An IV pump is essential to deliver heparin safely and accurately.
Choice C reason: Magnesium is an electrolyte that can cause serious adverse effects such as cardiac arrhythmias,
respiratory depression, and muscle weakness if infused too rapidly or too slowly. An IV pump is necessary to control the infusion rate and prevent magnesium toxicity or deficiency.
Choice D reason: Regular insulin is a hormone that regulates blood glucose levels and requires careful titration based on frequent blood glucose monitoring. An IV pump is required to deliver insulin at a consistent and adjustable rate to avoid hypoglycemia or hyperglycemia.
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