Nokea
A client with heart failure is prescribed furosemide. Which laboratory value should the nurse monitor closely?
- A. Sodium
- B. Potassium
- C. Calcium
- D. Magnesium
Correct Answer: B
Rationale: With furosemide in heart failure, potassium needs close watch, not sodium, calcium, or magnesium. This loop diuretic dumps potassium hypokalemia risks arrhythmias, critical in HF. Sodium shifts, but potassium's more acute. Leadership monitors this imagine a cramping patient; it guides replacement, ensuring safety. This reflects nursing's electrolyte oversight, aligning with cardiac care effectively.
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When the group has reached socio-emotional maturity, which types of behaviors will predominate?
- A. Interpersonal behaviors
- B. Intrapersonal behaviors
- C. Task behaviors
- D. Relational behaviors
Correct Answer: D
Rationale: Relational behaviors dominate maturity, unlike interpersonal, intrapersonal, or task. Nurse managers see this like support contrasting with early focus. It's key in healthcare for collaboration, aligning leadership with team strength.
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.
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.
A nurse is reviewing the laboratory results of a client who is scheduled for surgery. Which of the following results should the nurse report to the provider?
- A. Potassium 3.8 mEq/L
- B. Hemoglobin 7.8 g/dL
- C. Sodium 140 mEq/L
- D. Creatinine 0.9 mg/dL
Correct Answer: B
Rationale: Preoperative lab review identifies risks impacting surgery anemia, electrolytes, or organ function. Hemoglobin 7.8 g/dL below the normal 12-15 g/dL for females or 13-17 g/dL for males indicates anemia, reducing oxygen-carrying capacity, a concern for anesthesia and healing, warranting provider notification for possible transfusion or delay. Potassium 3.8 mEq/L (normal 3.5-5.0), sodium 140 mEq/L (135-145), and creatinine 0.9 mg/dL (0.6-1.2) are within range, posing no immediate threat. Low hemoglobin directly affects surgical safety, triggering urgent communication to adjust the plan, ensuring optimal oxygenation and recovery, a critical nursing responsibility in preoperative care coordination.
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.