performance management

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Primary Task Response: Within the Discussion Board area, write 400-600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions with your classmates. Be substantive and clear, and use examples to reinforce your ideas. The human resources department of Matrix International Corporation has recently hired you to oversee its performance management system. Employee job descriptions are the key document that define an employee’s job and thus are a basis for managing employee performance. Goal setting is a key method used to align an organization’s strategy for performance improvement. Please discuss the following with your classmates: What is performance management? Why is performance management important to organizations?

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When examining a patient who is paralyzed below the T4 level, the medical-surgical nurse expects to find:

 flaccidity of the upper extremities.
 hyperreflexia and spasticity of the upper extremities.

 impaired diaphragmatic function requiring ventilator support.
 independent use of upper extremities and efficient cough.

Medical-Surgical Nursing

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 For a patient with Crohn’s disease, the medical-surgical nurse recommends a diet that is:

 high in fiber, and low in protein and calories.
 high in potassium.
 low in fiber, and high in protein and calories.
 low in potassium.

Medical-Surgical Nursing

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 Which action best describes a sentinel event alert?

 Documenting the breakdown in communication during a shift report.
 Indicating that a community or institution is unsafe.
 Recording the harm done when a medication error occurs.
 Signaling the need for immediate investigation and response.

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Which statement by a patient with diabetes mellitus indicates an understanding of the medication insulin glargine (Lantus)?

 “Lantus causes weight loss.”
 “Lantus is used only at night.”
 “The duration of Lantus is six hours.”
 “There is no peak time for Lantus.”

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During an assessment of a patient who sustained a head injury 24 hours ago, the medical-surgical nurse notes the development of slurred speech and disorientation to time and place. The nurse’s initial action is to:

 continue the hourly neurologic assessments.
 inform the neurosurgeon of the patient’s status.
 prepare the patient for emergency surgery.
 recheck the patient’s neurologic status in 15 minutes.

Medical-Surgical Nursing

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 A patient who received spinal anesthesia four hours ago during surgery is transferred to the surgical unit and, after one and a half hours, now reports severe incisional pain. The patient’s blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99oF (37.2oC), and respirations are 30 breaths/min. The patient’s skin is pale, and the surgical dressing is dry and intact. The most appropriate nursing intervention is to:

 medicate the patient for pain.
 place the patient in a high Fowler position and administer oxygen.
 place the patient in a reverse Trendelenburg position and open the IV line.

 report the findings to the provider.

Medical-Surgical Nursing

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Which physiological response is often associated with surgery-related stress?

 Bronchial constriction.
 Decreased cortisol levels.
 Peripheral vasodilation.
 Sodium and water retention.

Medical-Surgical Nursing

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The main goal of treatment for acute glomerulonephritis is to:

 encourage activity.
 encourage high protein intake.
 maintain fluid balance.
 teach intermittent urinary catheterization.

Cardiac-Vascular Nursing

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A patient recently had a cardiac catheterization via right-radial approach. The patient has a compression device in place. The patient complains of numbness and pain in the right hand. The cardiac-vascular nurse notes a diminished pulse, with a cool and cyanotic hand. The nurse:

 calls the physician.
 performs an Allen’s test.
 reduces the pressure on the puncture site.
 uses the Doppler to assess for pulse signals.