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A client with a history of gastroesophageal reflux disease is prescribed pantoprazole. Which instruction should the nurse include?
- A. Take the medication before meals
- B. Take it only when heartburn occurs
- C. Increase intake of spicy foods
- D. Stop the medication once symptoms improve
Correct Answer: A
Rationale: For pantoprazole in GERD, take before meals, not PRN, spicy, or stop. PPIs block acid pre-meal PRN's ineffective, spices worsen, stopping risks rebound. Leadership teaches this imagine relief; it ensures efficacy, aligning with GI care effectively.
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You are charged with developing a new nursing curriculum and are committed to developing a curriculum that reflects the needs of the profession and of the workplace. To address deficits that may already be present in nursing curricula related to the workplace, you include more content and skills development related to:
- A. therapeutic communication with patients
- B. effective communication in the workplace
- C. increased emphasis on sender-receiver dyads
- D. generational differences in communication
Correct Answer: B
Rationale: Nursing curricula often emphasize patient-focused therapeutic communication, but workplace dynamics like team conflicts demand effective communication skills among colleagues. Your curriculum shift addresses this gap, vital for team cohesion and care delivery, as seen in staff disputes. Sender-receiver focus or generational differences are subsets, not the core need. Workplace communication equips nurses to navigate professional relationships, enhancing collaboration and reducing friction, aligning with profession and workplace realities.
The nurse is assessing a client with suspected hyperglycemia. Which finding supports this diagnosis?
- A. Polyuria
- B. Sweating
- C. Muscle cramps
- D. Shakiness
Correct Answer: A
Rationale: In suspected hyperglycemia, polyuria supports it, not sweating, cramps, or shakiness (hypoglycemia signs). High glucose spills into urine frequent urination signals control issues, unlike adrenergic responses. Leadership notes this imagine thirst; it guides insulin, aligning with diabetes care effectively.
A client with rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?
- A. White blood cell count
- B. Serum creatinine
- C. Blood glucose
- D. Serum potassium
Correct Answer: A
Rationale: For methotrexate in RA, monitor WBC, not creatinine, glucose, or potassium. This immunosuppressant risks leukopenia infection looms if low. Kidneys matter, but marrow's primary. Leadership watches this imagine fever; it ensures safety, aligning with RA therapy effectively.
It is a managerial function that indicates leading the staff in the most applicable method.
- A. Planning
- B. Directing
- C. Organizing
- D. Controlling
Correct Answer: B
Rationale: Directing leads staff, unlike planning, organizing, or controlling. Nurse managers guide like assigning shifts contrasting with strategy or oversight. It's key in healthcare for real-time coordination, aligning leadership with operational flow.
Which of these isn't a Behavior Style?
- A. Promoter
- B. Directors
- C. Actors
- D. Thinkers
Correct Answer: C
Rationale: Actors aren't a style, unlike promoter, directors, or thinkers. Nurse managers like directing tasks use styles, contrasting with unrelated terms. It's key in healthcare for roles, aligning leadership with behavior (assumed C).