Based on current clinical research, which statement represents support for promoting adequate staffing?
Staffing practices are unrelated to nursing fatigue.
Adequate staffing places little demand on the budgeting of nursing units.
Adequate staffing helps to promote both patient and nurse satisfaction.
Staffing patterns do not affect hospital infection rate.
The Correct Answer is C
A. Staffing practices are unrelated to nursing fatigue is incorrect. Research consistently shows that inadequate staffing contributes to nurse fatigue and burnout. When there are fewer nurses than needed, it can lead to longer shifts, more stress, and exhaustion, negatively affecting both nurse well-being and patient care.
B. Adequate staffing places little demand on the budgeting of nursing units is incorrect. While adequate staffing may require a higher initial budget, the long-term benefits (such as improved patient outcomes and nurse retention) can lead to cost savings. Inadequate staffing can result in more complications, longer hospital stays, and higher turnover rates, which can ultimately increase costs.
C. Adequate staffing helps to promote both patient and nurse satisfaction is correct. Current clinical research supports the idea that adequate staffing directly improves both patient outcomes and nurse satisfaction. When staffing levels are appropriate, nurses are less likely to experience burnout, and patients are more likely to receive safe, quality care, leading to higher satisfaction for both parties.
D. Staffing patterns do not affect hospital infection rate is incorrect. Staffing patterns are directly linked to patient safety and infection rates. Research shows that lower staffing levels can result in higher patient infection rates due to decreased nurse-patient interaction and the inability to provide timely interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypoactive deep tendon reflexes is incorrect. Hypocalcemia often leads to hyperactive reflexes, not hypoactive reflexes. This is because calcium plays a role in muscle and nerve function, and a deficiency can cause heightened neuromuscular irritability.
B. Constipation is incorrect. Constipation is more commonly associated with hypercalcemia (elevated calcium levels), not hypocalcemia. Low calcium levels tend to cause muscle spasms and neuromuscular symptoms rather than gastrointestinal issues.
C. Tingling of the extremities is correct. Tingling or paresthesia of the extremities is a common symptom of hypocalcemia. It occurs due to increased nerve excitability caused by low calcium levels, which can lead to muscle cramps, tetany, and numbness.
D. Shortened QT intervals is incorrect. A shortened QT interval is typically associated with hypercalcemia (high calcium levels), not hypocalcemia. Hypocalcemia is more likely to cause a prolonged QT interval on the ECG.
Correct Answer is A
Explanation
A. Monitor blood pressure closely for fluctuations is correct. After an adrenalectomy for pheochromocytoma, it is critical to closely monitor the client's blood pressure. Pheochromocytomas are tumors of the adrenal glands that cause excessive production of catecholamines (like epinephrine and norepinephrine), leading to severe hypertension. Postoperatively, the sudden removal of the tumor may cause blood pressure fluctuations, including hypotension after the excess catecholamines are no longer being produced. Monitoring blood pressure is key to detecting complications like hypotension or hypertensive crises early.
B. Check the client's urine output every hour is incorrect. While urine output is important to monitor in general postoperative care, it is not the priority in this case. The more immediate concern following adrenalectomy for pheochromocytoma is blood pressure control and hemodynamic stability, not just urine output.
C. Evaluate the client's pain level using a numeric scale is incorrect. While managing pain is essential, the priority assessment postoperatively for this particular procedure is to monitor for hemodynamic changes, particularly due to the risk of fluctuating blood pressure. Pain can be managed after addressing the primary concerns.
D. Assess the surgical site for signs of infection is incorrect. While infection is a concern for any postoperative patient, the most immediate risk after adrenalectomy for pheochromocytoma is hemodynamic instability due to catecholamine imbalance. Monitoring blood pressure takes precedence over checking for infection in the early postoperative period.
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