Nokea
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.
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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 have recently been appointed as a unit manager. After 3 months, you notice that staff are not seeking your advice as frequently as they did during your first weeks as manager. This observation may suggest that:
- A. Staff no longer perceive you as an expert
- B. Staff have increasing confidence in their own decision making
- C. There has been erosion in your relationships with staff
- D. Staff are experiencing dissatisfaction with your leadership
Correct Answer: B
Rationale: Staff seeking less advice after three months likely signals growing confidence in their own decisions, a natural shift as they adjust to your leadership and rely on their skills. It's not necessarily expertise loss, eroded ties, or dissatisfaction context matters, but reduced dependence often marks autonomy, a positive outcome in a stable unit. New managers see this as staff adapt, suggesting your initial support built their competence, aligning with effective leadership fostering independence over time.
Stephanie delegates effectively if she has authority to act, which is BEST defined as:
- A. Having responsibility to direct others
- B. Being accountable to the organization
- C. Having legitimate right to act
- D. Telling others what to do
Correct Answer: C
Rationale: Authority, for Stephanie, is the legitimate right to act sanctioned power to delegate beyond just directing, accountability, or ordering. In her role, this means assigning orientation tasks with official backing, ensuring compliance. Leadership hinges on this, balancing responsibility with power in a hospital where clear authority prevents chaos, enabling her to guide new nurses effectively toward patient care goals within her educational mandate.
Which of the following statements concerning the rational and emotional aspects of leadership is false?
- A. Leaders can use rational techniques and/or emotional appeals in order to influence followers
- B. Leadership includes actions and influences based only on reason and logic
- C. Aroused feelings can be used either positively or negatively
- D. Good leadership involves touching others' feelings
Correct Answer: B
Rationale: Leadership isn't limited to reason and logic B is false. Nurse leaders blend rational scheduling with emotional motivation, like rallying staff during a crisis, contrasting with purely logical approaches. Effective leadership in healthcare requires touching emotions to inspire trust and action, not just issuing directives. This duality drives patient care and team cohesion, aligning leadership with both mind and heart.
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.