Leadership and Management HESI Quizlet

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A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care?

  • A. Is the client's family present so the AP can show them how to turn the client?
  • B. Has data been collected about specific client needs related to turning?
  • C. Does the AP have time to change the client's central IV line dressing after turning her?
  • D. Has the AP checked the client's pain level prior to turning her?
Correct Answer: B

Rationale: Before delegating the task of bathing and turning a client with end-stage cancer to an experienced assistive personnel (AP), the nurse must assess specific client needs related to turning. This assessment ensures that the delegated care is tailored to the client's individual requirements, promoting safe and effective care. Option A is incorrect because the presence of the client's family is not directly related to assessing the client's specific needs for turning. Option C is incorrect as it refers to a different task (changing the central IV line dressing) and is not directly related to the turning assessment. Option D is incorrect as checking the client's pain level, although important, is not directly related to the specific needs related to turning the client.

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The healthcare provider provides instructions to a client with a low magnesium level about the foods that are high in magnesium and tells the client to consume which foods? Select one that does not apply.

  • A. Peas
  • B. Oranges
  • C. Apples
  • D. Peanut butter
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A healthcare professional is reviewing a client's laboratory report and notes that the serum calcium level is 4.0 mg/dL. The healthcare professional understands that which condition most likely caused this serum calcium level?

  • A. Prolonged bed rest
  • B. Renal insufficiency
  • C. Hyperparathyroidism
  • D. Excessive ingestion of vitamin D
Correct Answer: A

Rationale: Prolonged bed rest can lead to hypocalcemia due to decreased mobility and bone resorption. In this scenario, the low serum calcium level of 4.0 mg/dL is likely a result of decreased bone activity and calcium release due to prolonged bed rest. Renal insufficiency would more likely lead to hypercalcemia due to impaired excretion of calcium by the kidneys. Hyperparathyroidism is characterized by increased calcium levels as a result of excess parathyroid hormone. Excessive ingestion of vitamin D can cause hypercalcemia by increasing intestinal absorption of calcium.

What is a primary responsibility of a healthcare manager?

  • A. Direct patient care
  • B. Financial oversight
  • C. Ignoring staff concerns
  • D. Minimizing staff training
Correct Answer: B

Rationale: Financial oversight is a primary responsibility of a healthcare manager. Healthcare managers are responsible for managing the financial aspects of healthcare facilities, including budgeting, financial planning, and ensuring financial sustainability. Direct patient care (choice A) is typically the responsibility of healthcare providers such as doctors and nurses, not managers. Ignoring staff concerns (choice C) is counterproductive and goes against effective management practices. Minimizing staff training (choice D) is also not a responsibility of a healthcare manager; on the contrary, they should ensure adequate training and development opportunities for their staff to improve patient care and overall performance.

Which of the following strategies can help reduce healthcare-associated infections?

  • A. Using outdated medical equipment
  • B. Implementing strict hygiene protocols
  • C. Increasing patient wait times
  • D. Reducing nursing staff
Correct Answer: B

Rationale: Correct Answer: Implementing strict hygiene protocols can help reduce healthcare-associated infections. By maintaining high standards of hygiene, such as proper handwashing, sterilization of equipment, and cleanliness of the environment, the spread of infections can be minimized. Choices A, C, and D are incorrect. Using outdated medical equipment can increase the risk of infections due to lack of proper maintenance and sterilization. Increasing patient wait times may lead to frustration but does not directly impact infection rates. Reducing nursing staff can compromise patient care and monitoring but is not specifically related to reducing healthcare-associated infections.

Select all of the risk factors that are associated with deep vein thrombosis.

  • A. The use of oral contraceptives
  • B. Type B and O blood
  • C. Rh negative blood
  • D. Underweight
Correct Answer: A

Rationale: The correct answer is A: "The use of oral contraceptives." Risk factors for deep vein thrombosis include factors such as immobility, surgery, cancer, obesity, smoking, and the use of oral contraceptives. Choices B, C, and D are incorrect because blood type and Rh factor do not play a role in the development of deep vein thrombosis, and being underweight is not typically considered a risk factor for this condition.

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