Nokea
The nurse is caring for a client with an indwelling urinary catheter. Which intervention is the priority to prevent infection?
- A. Empty the drainage bag every 8 hours
- B. Secure the catheter to the leg
- C. Clean the insertion site daily
- D. Encourage fluid intake
Correct Answer: C
Rationale: With an indwelling catheter, clean the site daily is priority, not emptying, securing, or fluids. Cleaning cuts infection others help but germs at entry matter most. Leadership ensures this imagine cloudy urine; it prevents UTI, aligning with catheter care effectively.
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A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor?
- A. Potassium
- B. Calcium
- C. Magnesium
- D. Sodium
Correct Answer: A
Rationale: For hydrochlorothiazide in HTN, monitor potassium, not calcium, magnesium, or sodium. Thiazides dump potassium hypokalemia risks arrhythmias. Others shift less. Leadership watches this imagine cramps; it ensures safety, aligning with HTN care effectively.
The clearly stated goal looks at
- A. What you want
- B. When you want to get it
- C. How will you get it
- D. All the above
Correct Answer: D
Rationale: All what, when, how define goals. Nurse leaders like care plans cover this, contrasting with ambiguity. In healthcare, it's structure, aligning leadership with intent.
When a student encounters problems while trying to reach a goal and then claims that she is a failure is an example of-
- A. Realistic thinking
- B. The best way to reach a goal
- C. Distortion of thinking
- D. Adjustment of thinking process
Correct Answer: C
Rationale: Failure claim is distortion , not realistic, best, or adjustment. Nurse leaders like reframing setbacks counter this, contrasting with negativity. In healthcare, resilience aids progress, aligning leadership with positive mindset.
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.
What leadership style is used to maintain a strong control in the department?
- A. Laissez-faire
- B. Democratic
- C. Collegial
- D. Autocratic
Correct Answer: D
Rationale: Autocratic style enforces strong control, unlike laissez-faire, democratic, or collegial. Nurse managers like mandating protocols use this, contrasting with participative approaches. It's key in healthcare for order, though it may limit input, aligning leadership with authority in high-stakes settings.