Nokea
A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor?
- A. Potassium
- B. Calcium
- C. Magnesium
- D. Sodium
Correct Answer: A
Rationale: For hydrochlorothiazide in HTN, monitor potassium, not calcium, magnesium, or sodium. Thiazides dump potassium hypokalemia risks arrhythmias. Others shift less. Leadership watches this imagine cramps; it ensures safety, aligning with HTN care effectively.
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Which of the following is expert power
- A. Leader can exercise power as a result of their position in the organisation
- B. Leader has power because of their expert knowledge
- C. Leader has power because subordinates trust him/her
- D. Leader can punish staff who do not comply with instructions
Correct Answer: B
Rationale: Expert power stems from knowledge not position, trust, or punishment. Nurse leaders like clinical specialists wield this, contrasting with formal authority. In healthcare, it builds credibility, aligning leadership with skill.
A nurse is caring for a client who has a tracheostomy and requires suctioning. Which of the following actions should the nurse take?
- A. Suction for no longer than 10 to 15 seconds
- B. Use a clean catheter each time
- C. Apply suction while inserting the catheter
- D. Hyperoxygenate the client after suctioning
Correct Answer: A
Rationale: Tracheostomy suctioning clears secretions but risks hypoxia if prolonged. Suctioning for no longer than 10-15 seconds limits oxygen deprivation per guidelines allowing recovery between passes, critical for a client reliant on a patent airway. Using a clean catheter each time compromises sterility, risking infection sterile is standard. Applying suction while inserting spreads secretions, clogging the tube, while hyperoxygenation post-suctioning helps but pre-suctioning is key to preload oxygen. The time limit balances efficacy and safety, reflecting the nurse's skill in preventing hypoxia or trauma, ensuring effective airway management in a procedure vital for respiratory stability.
He likewise stresses the need for all the employees to follow orders and instructions from him and not from anyone else. Which of the following principles does he refer to?
- A. Scalar chain
- B. Discipline
- C. Unity of command
- D. Order
Correct Answer: C
Rationale: Unity of command, per Fayol, ensures employees follow one superior Joey avoiding confusion from multiple directives. Scalar chain is the authority line, discipline obedience, and order placement. In his unit, this clarity prevents conflicting orders, like on patient protocols, streamlining care. Joey's leadership enforces this to maintain control, critical in a tertiary hospital where precision impacts outcomes, aligning staff under his vision for efficiency and accountability.
What is no longer a characteristic of an organizational chart?
- A. It shows the division of work
- B. It shows the workload of each personnel
- C. It reflects the type of work of each
- D. [Missing option]
Correct Answer: B
Rationale: Workload isn't typically shown, unlike division, type, or missing. Nurse managers use charts for roles, contrasting with staffing details. It's vital in healthcare for structure, aligning leadership with clarity (assumed B).
The nurse is caring for a client with an indwelling urinary catheter. Which intervention is the priority to prevent infection?
- A. Empty the drainage bag every 8 hours
- B. Secure the catheter to the leg
- C. Clean the insertion site daily
- D. Encourage fluid intake
Correct Answer: C
Rationale: With an indwelling catheter, clean the site daily is priority, not emptying, securing, or fluids. Cleaning cuts infection others help but germs at entry matter most. Leadership ensures this imagine cloudy urine; it prevents UTI, aligning with catheter care effectively.