Fundamentals Of Nursing: Standards And Practices 2nd Edition Sue C. DeLaune, Patricia Kelly Ladner - Solutions

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Create a blueprint of an object you design including two quality characteristics and associated specification limits.
Which of the following is correct about engineering specifications?a. They are sometimes made up by engineers who do not know the implications.b. They are often used in contracts between procurement and suppliers.c. They could be so wide as to raise no production concerns.d. All of the above are
Which of the following is true about engineering specification limits?a. They are associated with the “±” given on blueprints.b. They can fail to reflect actual performance in that nonconforming ≠defective.c. They are always written in dimensionless units.d. Answers in parts “a” and
According to the chapter, which would most likely use formal optimization?a. Design engineeringb. Production engineeringc. Process engineeringd. All of the above are correct.
According to Chapter 2, which would most likely use acceptance sampling?a. Sales and logisticsb. Design engineeringc. Procurementd. Answers in parts “a” and “b” are both correct.e. Answers in parts “a” and “c” are both correct.
Which department(s) could possibly use SPC charting?a. Productionb. Marketingc. Sales and logistics, for monitoring delivery times of truckersd. All of the above are correct.
Which department could possibly use DOE?a. Design engineeringb. Productionc. Process engineeringd. All of the above are correct.
Based on Table 2.1, which methods are useful in the last phase of a project?
Based on Table 2.1, which methods are useful in the first phase of a project?
A large number of lots have shown up on a shipping dock, and their quality has not been ascertained. Which method(s) would be obviously helpful?a. Acceptance samplingb. DOEc. Formal optimizationd. Answers in parts “a” and “b” are both correct.e. Answers in parts “a” and “c” are both
A team is in a problem-solving phase in which recommendations are ready but have not been fully confirmed and checked. According to Chapter 2, which method(s) would be obviously helpful?a. SPC chartingb. DOEc. Formal optimizationd. Answers in parts “a” and “b” are both correct.e. Answers in
A team has created approximate regression models to predict input-output relationships and now wants to decide which inputs to recommend. According to Chapter 2, which method(s) would be obviously helpful?a. SPC chartingb. Gauge R&Rc. Formal optimizationd. Answers in parts “a” and “b” are
A team is in a problem-solving phase in which the objectives and responsibilities have been established but the state of the current system has not been measured. According to Chapter 2, which method(s) would be obviously helpful (i.e., the method description mentions related goals)?a. SPC
A company is trying to design a new product and wants to study input combinations to develop input-output predictive relationships. Which methods are obviously helpful (i.e., the method description mentions related goals)?a. Regressionb. DOEc. Control planningd. Answers in parts “a” and “b”
Which methods are obviously helpful for evaluating measurement systems(i.e., the method description mentions related goals)?a. Gauge R&Rb. DOEc. Formal Optimizationd. Answers in parts “a” and “b” are both correct.e. Answers in parts “a” and “c” are both correct.
A company has implemented a new design into production. Now it is interested in prioritizing which inspection areas need more attention and in documenting a complete safety system. Which methods are obviously helpful(i.e., the method description mentions related goals)?a. FMEAb. QFDc. Control
A company is trying to design a new product and wants to systematically study its competitor’s products. Which methods are obviously helpful (i.e., the method description mentions related goals)?a. Gauge R&Rb. QFDc. Formal Optimizationd. Answers in parts “a” and “b” are both correct.e.
According to the chapter, which is correct and most complete?a. TQM has little to do with technology transfer from Europe to the U.S.b. The perception that TQM is anti-business developed in the last five years.c. One of Deming’s 14 points is that fear is a necessary evil.d. All of the above are
Suppose you were going to teach a fifteen year old about your specific major and its usefulness in life. Provide one example of knowledge for each level in Bloom’s Taxonomy.
Suppose one defines two basic levels of understanding of the material in this book to correspond to “green belt” (lower) and “black belt” (higher).Considering Bloom’s Taxonomy, and inspecting this book’s table of contents, what types of knowledge and abilities would a green belt have
According to Bloom’s Taxonomy which of the following would be effective?a. Give application experience, and then teach them theory as needed.b. Ask people to critique your syllabus content immediately, and then teach facts.c. Start with facts, then application, then some theory, and then ask for
According to Bloom’s Taxonomy, which of the following is true?a. People almost always learn from the general to the specific.b. Learning of facts, application of facts, and the ability to critique, in that order, is easiest.c. Theory is critical to being able to apply material.d. Answers in parts
Which of the following are problems associated with gaining ISO accreditation?a. Resources must be devoted to something not on the value stream.b. Managers may be accused of “tree hugging” because fear can be useful.c. Employees rarely feel stifled because of a bureaucratic hurdles are
Which of the following are perceived benefits of being ISO certified?a. Employees must share information and agree on which practices are best.b. Inventory is reduced because there are smaller batch sizes.c. Training costs are reduced since the processes are well documented.d. Answers in parts
Which of the following are benefits of freezing a design long before Job 1?a. It encourages people to be systematic in attempts to avoid problems.b. Design changes cost little since tooling has not been committed.c. Fire-fighting occurs more often.d. Answers in parts “a” and “b” are both
Which of the following are benefits of freezing a design long before Job 1?a. Your design function can react to data after Job 1.b. Tooling costs more because it becomes too easy to do it correctly.c. It prevents reactive design tinkering and therefore reduces tooling costs.d. Answers in parts
Provide one modern example of craft production and one modern example of mass production. Your examples do not need to be in traditional manufacturing and could be based on a task in your home.
Give an example of a specific engineered system and improvement system that might be relevant in your work life.
In two sentences, summarize the relationship between lean production and quality.
In two sentences, explain why Shewhart invented control charts.
In two sentences, explain the relationship between mass production and lost accountability.
Which of the following were innovations associated with mass production?a. Workers did not need much training since they had simple, small tasks.b. Guild certification built up expertise among skilled tradesmen.c. Interchangeability of parts permitted many operations to be performed usefully at one
Which of the following is the lean production way to making three sandwiches?a. Lay out six pieces of bread, add tuna fish to each, add mustard, fold all, and cut.b. Lay out two pieces of bread, add tuna fish, mustard, fold, and cut.Repeat.c. Lay out the tuna and mustard, order out deep-fat fried
List two perceived problems associated with TQM that motivated the development of six sigma.
How does six sigma training differ from typical university instruction?Explain in two sentences.
According to Chapter 1, which of the following should be included in the definition of six sigma?a. Fear should be driven out of the workplace.b. Participants do not need to become statistics experts.c. Thorough SOP documentation must be completed at the end of every project.d. Answers in parts
According to Chapter 1, which of the following should be included in the definition of six sigma?a. Each project must be cost justified.b. For new products, project phases should be organized using DMADV.c. 3.4 unacceptable units per million opportunities is the generic goal.d. Answers in parts
Consider a system associated with international wire transfers in personal banking. List two possible KIVs and two possible KOVs.
Consider your friend’s system relating to grade performance in school. List two possible KIVs and two possible KOVs.
You are an industrial engineer at a hospital trying to reduce waiting times of patients in emergency rooms. You are allowed to consider the addition of one nurse during peak hours as well as subscription to a paid service that can reduce data entry times. Which of the following constitute KIVs and
Assume that you are paid to aid with decision-making about settings for a die casting process in manufacturing. Engineers are frustrated by the amount of flash or spill-out they must clean off the finished parts and the deviations of the part dimensions from the nominal blueprint dimensions. They
Consider a system that is your personal homepage. Which of the following constitute possible design KIVs and KOVs?a. KIVs include background color and KOVs include time it takes to find your resume.b. KIVs include expert rating (1-10) of site and KOVs include amount of flash animation.c. KIVs
Consider the toy system of paper airplanes. Which of the following constitute possible design KIVs and KOVs?a. KIVs include time unit flies dropped from 2 meters and KOVs include wing fold angle.b. KIVs include wing fold angle in design and KOVs include type of paper in design.c. KIVs include wing
Remove compress after 20–30 minutes and redress wound
Observe for signs and symptoms of burning or numbness, of a hot water bag or a heating pad to cover the dressing. mottling of the skin, redness, extreme paleness, or a bluish
Technique may be clean or sterile.similar to application of a wet to dry dressing and the use
Solution to moisten the gauze can be heated first to 40.5°C 15°C (59°F).(105°F) or according to agency protocol, or procedure is
For an open wound, use sterile technique. compresses applied for 20 minutes at a temperature of
Procedure similar to that for warm compresses except cold
Applied to improve circulation, relieve edema, and hasten reduce inflammation.the suppurative process and healing.
what is the
Do not allow the client to lie directly on the pad, because heat will not dissipate and the client may be burned.
Do not insert sharp objects into the pad.
Instruct the client to avoid using high setting, to prevent burns.
Unit composed of electrical coil enclosed within a waterproof pad covered with cotton or flannel cloth.
Provide constant, even heat, are lightweight, and can easily be molded to a body part.
Do not have client lie on pad.Electrical heating pads
Treatment usually continues for 20–30 minutes.
Cover the pad with a thin cloth or pillowcase prior to application.
The desired temperature is usually set with a key at 45°C for adults.
Unit consists of a waterproof plastic or rubber pad connected by two hoses to an electrical control unit that has a heating element and a motor. The reservoir of the unit is filled two-thirds full with distilled water.
Age: Thinner skin layers in children and elderly people increase the risk for burns from the heat and cold applications. Older adults have a decreased sensitivity to pain.• Are useful in treating muscle sprains and for areas with mild inflammation or edema.
Individual tolerance: Tolerance to temperature variations is affected by age and physical condition. The young and the aged are especially susceptible to heat and cold. Neurosensory impairments may interfere with the reception and perception of stimuli, increasing the risk of injury.
Damage to body surface area: Injured skin areas are more sensitive than intact areas to temperature variations.
Area of body exposed: The larger the area exposed to heat and cold, the lower the tolerance to temperature changes.
Duration of application: Therapeutic benefits of heat and cold applications are achieved with short periods of exposure to temperature variations.Tolerance increases as the length of exposure increases.
Body part: Certain areas of the skin have a sensitivity to temperature variations. The inner aspect of the wrist and forearm, the neck, and the perineal area are temperature-sensitive, while the back of the hand and the foot are not as sensitive.
Replace soiled or damp bandages and binders promptly
Document the appearance of the skin that will be outside the bandage or binder, to monitor changes in circulation, temperature, color, or swelling that occur once the bandage or binder is in place.
Ensure that the wound has a fresh sterile dressing before applying a bandage or binder to minimize intrusion and discomfort of the client for unnecessary dressing changes.
Note the appearance and condition of the skin and surrounding area, especially swelling, redness, excessive warmth, exudate, irritation, or uncovered wound areas.
Determine what type of support is needed for the wound and dressing.
Specific individualized instructions for treatment
Condition and appearance of surrounding skin
Nature of drainage
Size, depth, and location of the wound
The nurse should be available to assist the client with problem solving after discharge.
The client and family should be informed of community resources to maximize activity, mobility, and independence.
The client, family, and caregiver should be provided instructions in many forms: demonstrations, videos, pamphlets, handouts.
The need for adaptive equipment should be assessed and acquisition of equipment facilitated.
The family or caregivers should be included in educational sessions regarding activity and mobility.Practice sessions of activities and mobility by client, family, and caregivers under the direction of the nurse are essential.
Continuity of care among nurses and the interdisciplinary health care team is facilitated.
The nurse should be aware of the home environment and lifestyle of the client.
Nursing interventions are individualized to maximize activity, mobility, and independence for the client and family.
Collaboration between client, family, and members of the interdisciplinary health care team is essential for establishing and modifying goals for activity and mobility.
The nurse must assess the client on an ongoing basis for activity and mobility during acute hospitalization, rehabilitation, and postdischarge.
An informal teaching-learning environment
Meeting time that does not conflict with other planned activities
Use of an experiential activity (game) to reinforce learning
Use of prepared educational materials
A minimum of four program sessions
Biofeedback is used to help clients decrease muscular tension.Sessions not to exceed 1 hour
Transcutaneous electrical nerve stimulation (TENS)is used to decrease pain.
Cold (ice bag) helps reduce swelling.
Moist heat (warm towels, hot packs, bath/shower)promotes circulation.
Massage protects skin integrity by promoting circulation.
Acupressure is a technique similar to acupuncture;pressure instead of needles is applied to the acupuncture sites to relieve pain.
Acupuncture is a traditional Chinese medicine(TCM) method of pain relief in which a qualified practitioner inserts needles in certain body sites to promote the release of endorphins, (i.e., natural painkillers, National Institutes of Arthritis and Musculoskeletal and Skin Diseases, 1997).
Yoga increases circulation as a result of postural changes on the endocrine glands and nerve plexus(Eliopoulous, 1999).
The herb Ginkgo biloba may be used to promote circulation (Eliopoulous, 1999).

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Fundamentals Of Nursing: Standards And Practices 2nd Edition Sue C. DeLaune, Patricia Kelly Ladner - Solutions

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