Nokea
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.
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A client with a history of atrial fibrillation is prescribed amiodarone. Which instruction should the nurse include?
- A. Avoid exposure to sunlight
- B. Take the medication with grapefruit juice
- C. Increase intake of potassium-rich foods
- D. Report any chest pain immediately
Correct Answer: D
Rationale: For amiodarone in AF, report chest pain is key, not sunlight, grapefruit, or potassium. Chest pain flags pulmonary toxicity or arrhythmia serious risks unlike photosensitivity (less urgent), juice interactions (not major), or potassium (unrelated). Leadership stresses this imagine dyspnea; it ensures safety, aligning with cardiac care effectively.
When your text says that interpersonal communication can be thought of as a constellation of behaviors, it means that
- A. It is important to understand the joint actions people perform when they are together
- B. It is important to understand how people label and evaluate relationships
- C. It is important to understand the opposing forces that pull communicators in different directions
- D. None of the above; interpersonal communication is not a constellation of behaviors
Correct Answer: A
Rationale: Constellation means joint actions , not labels, forces, or denial. Nurse leaders like team dynamics see this, contrasting with solo acts. In healthcare, it's collaborative, aligning leadership with interaction.
A nurse-manager has made a decision and is now preparing to evaluate the decision. What question should best guide the nurse's evaluation process?
- A. Is evaluation necessary when using a good decision-making model?
- B. Can evaluation be eliminated if the problem is resolved?
- C. Is every party happy with the outcomes of the decision?
- D. Did the outcomes align with the original objectives?
Correct Answer: D
Rationale: Evaluating a decision, this nurse-manager should ask if outcomes match objectives like reduced errors post-training not model necessity, problem closure, or universal happiness. In nursing leadership, comparing goals (e.g., better handoffs) to results (e.g., fewer incidents) reveals decision quality, refining future choices. Models don't skip evaluation, resolution doesn't end reflection, and satisfaction isn't the metric alignment is. This focus ensures a safe care environment, as seen when assessing a protocol's impact, guiding managers to tweak or sustain actions for patient benefit.
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.
The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis?
- A. Poor skin turgor
- B. Increased urine output
- C. Bounding pulses
- D. Moist mucous membranes
Correct Answer: A
Rationale: In suspected dehydration, poor skin turgor supports it, not high output, strong pulses, or moist membranes (fluid excess signs). Low volume tents skin turgor flags need for fluids. Leadership notes this imagine dryness; it guides rehydration, aligning with hydration care effectively.