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A client with a history of atrial fibrillation is prescribed amiodarone. Which instruction should the nurse include?
- A. Avoid exposure to sunlight
- B. Take the medication with grapefruit juice
- C. Increase intake of potassium-rich foods
- D. Report any chest pain immediately
Correct Answer: D
Rationale: For amiodarone in AF, report chest pain is key, not sunlight, grapefruit, or potassium. Chest pain flags pulmonary toxicity or arrhythmia serious risks unlike photosensitivity (less urgent), juice interactions (not major), or potassium (unrelated). Leadership stresses this imagine dyspnea; it ensures safety, aligning with cardiac care effectively.
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The nurse is preparing to administer a dose of gentamicin to a client with a wound infection. Which laboratory value should the nurse review prior to administration?
- A. Serum creatinine
- B. White blood cell count
- C. Blood glucose
- D. Potassium
Correct Answer: A
Rationale: Before gentamicin for infection, review serum creatinine, not WBC, glucose, or potassium. Aminoglycosides are nephrotoxic creatinine flags kidney function, guiding dosing. Others track infection or unrelated issues. Leadership checks this imagine renal strain; it prevents toxicity, aligning with antibiotic care effectively.
In addition to basic managerial functions of planning, organizing, staffing, directing, and controlling, leaders are ascribed:
- A. Procedural and external roles
- B. Procedural and internal roles
- C. Strategic and internal roles
- D. Strategic and external roles
Correct Answer: D
Rationale: Leaders handle strategic/external roles unlike procedural B) or internal. Nurse leaders like community outreach go beyond management, contrasting with routine. In healthcare, this expands influence, aligning leadership with broader impact.
As a nurse manager, you introduce a program that enables staff nurses to recognize peers for teamwork and exceptional patient care with care awards.' Your rationale for this program is that peer recognition:
- A. Increases staff accountability
- B. Reduces organizational conflict
- C. Increases job satisfaction
- D. Reduces the need for managerial oversight
Correct Answer: C
Rationale: Peer care awards' for teamwork and care boost job satisfaction nurses feel valued by colleagues, lifting morale, as studies link recognition to engagement. It's not primarily about accountability, conflict, or less oversight, though it may ease tensions. In your unit, this fosters positivity amid stress, reinforcing good practice via peer praise, a low-cost, high-impact way to enhance fulfillment and retention, aligning with morale-building goals.
The major focus on self-awareness has been to emphasize the positive aspects that this can have. Self-awareness also has two negative extremes or traps. One of these traps is:
- A. Focusing on oneself can lead to increased self-esteem
- B. Focusing on the self can highlight shortcomings
- C. Focusing on oneself can lead to greater accuracy in evaluating oneself
- D. Focusing on the self can highlight ones strengths
Correct Answer: B
Rationale: Highlighting shortcomings is a trap, unlike esteem, accuracy, or strengths. Nurse leaders like over-criticism avoid this, contrasting with balance. In healthcare, it's constructive, aligning leadership with reflection.
A nurse is assisting with the informed consent process for a client who is scheduled for a below-the-knee amputation. The client asks the nurse, 'Why are they making me have this surgery today? I don't understand why they are doing this.' Which of the following actions should the nurse take?
- A. Explain the procedure in detail
- B. Notify the provider of the client's comments
- C. Reassure the client it's necessary
- D. Have the client sign the consent form
Correct Answer: B
Rationale: Informed consent hinges on the client's full understanding of the procedure, risks, and reasons, which the provider must ensure. When a client expresses confusion, as here with questions about the surgery's necessity, the nurse's role is to facilitate clarity by notifying the provider, who is responsible for explaining and obtaining consent. This action ensures the client receives accurate, authoritative answers, upholding autonomy and legal standards. Explaining the procedure herself exceeds the nurse's scope in this context, risking misinformation. Reassuring without addressing confusion dismisses the client's need for understanding, while forcing a signature without comprehension invalidates consent. Notifying the provider ensures the client's questions are resolved, protecting their rights and ensuring the process remains ethical and informed.