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A client with a history of hypertension is prescribed lisinopril. Which instruction should the nurse include?
- A. Monitor for a persistent dry cough
- B. Increase intake of potassium-rich foods
- C. Take the medication with meals
- D. Stop the medication if you feel dizzy
Correct Answer: A
Rationale: For lisinopril in HTN, monitor for dry cough, not potassium, meals, or stopping. ACE inhibitors cause cough potassium's risky, food's fine, dizziness needs MD. Leadership teaches this imagine hacking; it ensures awareness, aligning with HTN care effectively.
You may also like to solve these questions
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.
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 from a facility's float pool receives an assignment to float on a nursing unit. The float nurse tells the charge nurse that she has never worked on this unit before. How should the charge nurse respond?
- A. I will assign you to work with a registered nurse on the unit who is experienced and will act as a resource for you'
- B. You'll figure it out as you go'
- C. I'll reassign you elsewhere'
- D. Work only with the AP staff'
Correct Answer: A
Rationale: A float nurse unfamiliar with a unit needs support to ensure competent care. Responding I will assign you to work with a registered nurse on the unit who is experienced and will act as a resource for you' provides a skilled mentor, easing the transition with real-time guidance on unit specifics protocols, clients, equipment. This leverages the float pool's purpose, builds capacity, and safeguards quality, especially with likely future floats. Figure it out' risks errors from inexperience, reassigning wastes resources, and limiting to APs restricts scope and learning. Pairing with an RN fosters collaboration, confidence, and safety, aligning with leadership's role in resource allocation and staff development.
The chief nursing officer decided that the nurse managers need a series of staff-development programs on team building through communication and partnerships. She understood that the nurse managers needed to build confidence in ways of handling various situations. The greatest deterrent to confidence is:
- A. lack of clarity in the mission
- B. lack of control of the environment
- C. fear that one can't handle the consequences
- D. fear that the boss will not like one's work
Correct Answer: C
Rationale: Confidence in managing situations like team conflicts erodes most when nurse managers fear they can't handle outcomes, such as unresolved disputes or poor team performance. The CNO's focus on communication and partnerships aims to bolster this, as fear of consequences undermines competence and decision-making. Unclear missions or uncontrolled environments challenge leadership, but the personal dread of failure is more paralyzing. Fear of disapproval is less critical than managing tangible results. Building skills to navigate consequences directly boosts confidence, addressing the core barrier identified here.
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.