A nurse manager plans the fiscal budget and includes the sal…

A nurse manager plans the fiscal budget and includes the salaries for two RNs for two 12-hour shifts with a patient census of 6 in the short-stay observation room. The nurse manager reviews the budget report 3 months later and notes that the salary expenses are higher than was budgeted because of higher than planned RN staff salaries. This additional RN staff is necessary to meet patient care needs because the census has remained constant at 10 patients rather than the 6 projected when the budget was developed. The difference between the planned budget and the actual cost is known as:  

A patient is ordered a low-sodium, low-calorie diet but the…

A patient is ordered a low-sodium, low-calorie diet but the patient’s family brings corned beef and bread in keeping with their holiday tradition.  The nurse works with the dietician to adjust the next few meals to accommodate for this variance.  What term should be used to identify this situation?