Nokea
12. A patient receives aspart (NovoLog) insulin at 8:00 AM. At which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?
- A. 10:00 AM
- B. 12:00 PM
- C. 2:00 PM
- D. 4:00 PM
Correct Answer: A
Rationale: The correct answer is A (10:00 AM) because aspart insulin typically peaks in around 1-3 hours after administration. Given that the patient received the insulin at 8:00 AM, the peak effect would most likely occur around 10:00 AM, making it crucial for the nurse to monitor for hypoglycemia symptoms. Choice B (12:00 PM) is not the best time as the peak effect would have already passed. Choices C (2:00 PM) and D (4:00 PM) are even further away from the expected peak time, making them less critical for monitoring hypoglycemia symptoms.
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A nurse supervisor is planning an educational session for her staff regarding improving teamwork among different generations. Which of the following recommendations will reduce potential generational conflicts?
- A. Involve only millennials in technology decisions.
- B. Focus on the team as a whole, rather than individual generations.
- C. Involve only the baby boomers in technology decisions.
- D. Practice active and assertive communication techniques.
Correct Answer: D
Rationale: The correct answer is D, practicing active and assertive communication techniques. This recommendation is effective in reducing potential generational conflicts because clear and direct communication helps bridge the gap between different generations by promoting understanding and mutual respect. By using active listening and assertively expressing thoughts and feelings, team members can communicate effectively and resolve conflicts efficiently.
Summary:
A: Involving only millennials in technology decisions can lead to exclusion of other generations, increasing conflicts.
B: Focusing on the team as a whole is important, but specific strategies for addressing generational differences are necessary.
C: Involving only baby boomers in technology decisions can create resentment and conflict among other generations.
What quality is observed among individuals who strive to find the best way to do their job?
- A. Punctuality
- B. Strictness
- C. Honesty
- D. Motivation
Correct Answer: D
Rationale: The correct answer is D: Motivation. Individuals who strive to find the best way to do their job are motivated to continuously improve and excel in their work. Motivation drives them to seek out better methods, innovate, and push boundaries for greater efficiency and effectiveness. Punctuality (A) relates more to timeliness, strictness (B) implies rigidity rather than adaptability, and honesty (C) is important but not directly related to the drive for improvement. Overall, motivation is the key factor that propels individuals to constantly seek the best ways to perform their job.
A nurse is focusing on improving the ability to multitask without losing focus and to turn problems into opportunities. Which of the following leadership theories describes the nurse’s focus?
- A. Emotional intelligence
- B. Motivation theory
- C. Situational leadership theory
- D. Transformational leadership theory
Correct Answer: D
Rationale: The correct answer is D: Transformational leadership theory. This theory emphasizes the leader's ability to inspire and motivate followers to exceed their own self-interests for the good of the organization. In this scenario, the nurse's focus on improving multitasking and problem-solving aligns with the transformational leader's goal of empowering others to innovate and tackle challenges. Emotional intelligence (A) focuses on understanding and managing emotions, not specifically on multitasking or problem-solving. Motivation theory (B) addresses the factors that drive behavior but doesn't necessarily encompass multitasking and problem-solving skills. Situational leadership theory (C) emphasizes adapting leadership style to fit the situation, not specifically on improving multitasking and problem-solving abilities.
A 54-year-old patient is admitted with diabetic ketoacidosis. Which admission order should the nurse implement first?
- A. Infuse 1 liter of normal saline per hour.
- B. Give sodium bicarbonate 50 mEq IV push.
- C. Administer regular insulin 10 U by IV push.
- D. Start a regular insulin infusion at 0.1 units/kg/hr.
Correct Answer: A
Rationale: The correct answer is A because the priority in treating diabetic ketoacidosis is fluid resuscitation to address dehydration and electrolyte imbalances. Infusing 1 liter of normal saline per hour helps to restore intravascular volume and corrects electrolyte abnormalities. Choice B (sodium bicarbonate) is not recommended routinely in DKA treatment as it may worsen metabolic acidosis. Choice C (IV push insulin) can lead to hypoglycemia and should not be the initial intervention. Choice D (insulin infusion) is important but should be started after fluid resuscitation to avoid rapid drops in blood glucose levels.
A nurse is caring for a client after knee replacement surgery. The nurse discovers that the consent was not signed before the surgery. Which of the following charges could be filed?
- A. False imprisonment
- B. Libel
- C. Battery
- D. Malpractice
Correct Answer: C
Rationale: The correct answer is C: Battery. In this scenario, performing surgery without obtaining consent constitutes battery, which is the intentional touching of another person without consent. It is a violation of the client's right to autonomy and self-determination. False imprisonment (A) involves restraining someone without justification. Libel (B) is a written defamation of character, and malpractice (D) refers to professional negligence in providing healthcare services. Battery is the most appropriate charge in this situation as it directly addresses the lack of consent for the surgery.