Nokea
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?
- A. Ask the client to look upward while instilling the drops
- B. Place the drops directly onto the cornea
- C. Wipe the eye from outer to inner canthus
- D. Hold the dropper 5 cm (2 in) above the eye
Correct Answer: A
Rationale: Administering eye drops requires technique to ensure delivery and comfort. Asking the client to look upward while instilling drops positions the cornea away from the dropper, allowing medication to pool in the lower conjunctival sac, minimizing irritation and maximizing absorption per standard protocol. Placing drops on the cornea risks injury and reflex blinking, wiping outer to inner spreads contaminants toward the tear duct, and holding 5 cm (2 in) above is excessive 1-2 cm avoids splashing. Looking upward is safe, effective, and client-friendly, aligning with nursing practice to deliver ocular meds accurately, preventing complications like infection or trauma in a delicate area.
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A nurse is ambulating a client who has an IV with an infusion pump. After the nurse returns the client to his room and plugs in the infusion pump, the client reports a slight tingling in his hand. Which of the following actions should the nurse take?
- A. Turn off the pump
- B. Increase the infusion rate
- C. Tape the cord
- D. Notify maintenance only
Correct Answer: A
Rationale: Tingling in the hand after plugging in an IV pump suggests electrical malfunction possibly a short circuit or grounding issue posing shock or fire risks. Turning off the pump immediately halts potential harm, prioritizing client and staff safety, allowing assessment (e.g., cord damage) and tagging for repair. Increasing the rate ignores the symptom, worsening exposure, while taping the cord assumes a fix without evidence, delaying resolution. Notifying maintenance alone prolongs risk until they arrive. Shutting off aligns with safety-first principles, mitigating electrical hazards swiftly, critical in a clinical setting where equipment failure can escalate, ensuring protection until a full check confirms functionality.
A client with recent stroke can understand the language but answers with incorrect words. Which communication problem is presenting?
- A. Aphasia
- B. Apraxia
- C. Dysarthria
- D. Dysphagia
Correct Answer: A
Rationale: Post-stroke, understanding language but using wrong words is aphasia, not apraxia, dysarthria, or dysphagia. Aphasia disrupts expression e.g., saying cat' for dog' while apraxia affects motor planning, dysarthria slurs speech, and dysphagia impairs swallowing. Leadership recognizes this imagine a frustrated patient; identifying aphasia guides therapy, enhancing recovery. This reflects nursing's role in neurological assessment, ensuring accurate communication support effectively.
A democratic leadership style has which of the following characteristics
- A. Split power
- B. Dictatorial leader
- C. Genuine
- D. Answer A & B
Correct Answer: A
Rationale: Democratic style splits power A is correct. Nurse leaders share decisions, like shift planning with staff, contrasting with dictatorial rigidity. In healthcare, this boosts morale and input, fostering teamwork over top-down control. It aligns leadership with collaboration, enhancing patient care through collective effort.
As a new nurse manager who has 'inherited' a unit with high nurse turnover and complaints of patient dissatisfaction, your first course of action would be to:
- A. Determine levels of nurse engagement on the unit
- B. Review the personnel files of nurses who have resigned
- C. Interview upper management about their vision for the unit
- D. Meet with your staff to clarify your vision for the unit
Correct Answer: A
Rationale: High turnover and patient dissatisfaction often stem from low nurse engagement disconnection from work or leadership impacting care quality. As a new manager, assessing engagement through observation, surveys, or discussions reveals root causes, like poor morale or autonomy, guiding targeted improvements. Reviewing files offers historical data but not current dynamics. Interviewing management or sharing your vision comes later understanding staff engagement first grounds your strategy in the unit's reality. Studies (e.g., Aiken) show engaged nurses improve outcomes and retention, making this the critical starting point to address both issues effectively.
The nurse is preparing to administer a dose of amoxicillin to a client with a urinary tract infection. Which laboratory value should the nurse review prior to administration?
- A. Serum creatinine
- B. White blood cell count
- C. Blood glucose
- D. Potassium
Correct Answer: A
Rationale: Before amoxicillin for a UTI, review serum creatinine, not WBC, glucose, or potassium. Penicillins are renally cleared creatinine flags kidney function, guiding dosing. Others track infection or unrelated issues. Leadership checks this imagine oliguria; it prevents toxicity, aligning with antibiotic care effectively.