• A nurse manager is preparing to institute a new system for scheduling

staff. Severalnurseshave verbalized their concern over the possible

changes that will occur. Which of the following is an appropriate method to

facilitate the adoption of the new schedulingsystem?

• Identify nurses who accept the change to help influence other staffnurses

• Provide a brief overview of the new scheduling system

immediately beforeitimplementation

• Introduce the new scheduling system by describing how it will save the

institutionmoney

• Offer to reassign staff who do not support the change to anotherunit

• A client who is febrile is admitted to the hospital for treatment of

pneumonia. In accordancewith the care pathway, antibiotic therapy is

prescribed. Which of the following situations requires the nurse to complete a

variance report with regard to the carepathway?

• Antibiotic therapy was initiated 2 hr after implementation of the carepathway

• A blood culture was obtained after antibiotic therapy has beeninitiated

• The route of antibiotic therapy on the care pathway was changed from IV toPO

• An allergy to penicillin required an alternative antibiotic to beprescribed.