A client experiences difficulty breathing after the change of shift. The nurse on duty discovers that the IVFs were infusing at a rate 10 times the calculated normal. After notifying the physician and correcting the rate, what should be the next step in the client's care?

Correct Answer: C

Rationale: The correct answer is C: Complete an incident report. This is the next step in the client's care because documenting the incident is crucial for quality improvement and patient safety. It helps identify the root cause, prevent future errors, and ensure accountability. Notifying the family (A) may be necessary but not the immediate next step. Disciplining the previous nurse (B) is not appropriate without a thorough investigation. Obtaining legal consultation (D) may be needed later but is not the immediate priority.

Correct Answer: D

Rationale: The correct answer is D: Proactive management. This is because the Nurse Manager is taking preemptive action by posting the position and starting interviews immediately upon receiving the resignation notice. This proactive approach ensures a smooth transition and minimizes disruptions in patient care. Choice A, Delegation, is incorrect because the Nurse Manager is not assigning tasks to others but taking direct action. Choice B, A time-waster, is incorrect as the Manager's actions are aimed at being efficient and timely. Choice C, Reactive management, is incorrect as the Manager is not waiting for an issue to arise but is being proactive in planning for the future.

Correct Answer: C

Rationale: The correct answer is C: Effective time management reduces stress. This is because when you manage your time well, you are able to prioritize tasks, allocate sufficient time for each activity, and avoid feeling overwhelmed. By having a clear plan and schedule, you can reduce stress levels and increase productivity. Now, let's analyze why the other choices are incorrect: A: Time management is not important in nursing - This is incorrect because time management is crucial in nursing to ensure patient care is delivered efficiently. B: Writing goals will increase stress - This is incorrect as setting goals helps in providing direction and motivation, reducing stress in the long run. D: Setting goals is a time waster - This is incorrect because setting goals helps in defining objectives and tracking progress, which is essential for effective time management.

Correct Answer: A

Rationale: The correct answer is A: Fixed budget. A fixed budget is set without considering changes that may occur during the year. It remains unchanged regardless of actual performance. In this scenario, the budgeted amounts are predetermined and do not adjust based on changing conditions. Other choices are incorrect because: - B: Zero-based budget requires justifying every expense from scratch, not pre-set amounts. - C: Variable budget adjusts based on activity levels, not predetermined like in this case. - D: Operating budget encompasses all revenues and expenses, not necessarily fixed like in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Alcohol or drug withdrawal. This is because individuals experiencing withdrawal from alcohol or drugs may exhibit aggressive behavior due to physical and psychological effects of withdrawal. This can lead to volatile and potentially violent situations. Choice B: Anxiety, and choice C: Depression, are less likely to be directly associated with violent behavior compared to withdrawal symptoms. Choice D: Confusion, while it can lead to misunderstandings or agitation, is not as consistently linked to violent behavior as alcohol or drug withdrawal. Therefore, staff should be more prepared to manage and diffuse potentially violent situations when dealing with individuals experiencing alcohol or drug withdrawal.