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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.
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The chief nursing officer decided that the nurse managers need a series of staff-development programs on team building through communication and partnerships. She understood that the nurse managers needed to build confidence in ways of handling various situations. The greatest deterrent to confidence is:
- A. lack of clarity in the mission
- B. lack of control of the environment
- C. fear that one can't handle the consequences
- D. fear that the boss will not like one's work
Correct Answer: C
Rationale: Confidence in managing situations like team conflicts erodes most when nurse managers fear they can't handle outcomes, such as unresolved disputes or poor team performance. The CNO's focus on communication and partnerships aims to bolster this, as fear of consequences undermines competence and decision-making. Unclear missions or uncontrolled environments challenge leadership, but the personal dread of failure is more paralyzing. Fear of disapproval is less critical than managing tangible results. Building skills to navigate consequences directly boosts confidence, addressing the core barrier identified here.
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.
According the Path-Goal Theory, what leader is friendly and shows concern for the needs of followers?
- A. The achievement-oriented leader
- B. The directive leader
- C. The laissez-faire leader
- D. The supportive leader
Correct Answer: D
Rationale: Supportive leaders show concern, unlike achievement, directive, or laissez-faire. Nurse leaders like empathy fit this, contrasting with task focus. In healthcare, it boosts morale, aligning leadership with support.
The nurse is assessing a client with suspected hyperphosphatemia. Which finding supports this diagnosis?
- A. Tetany
- B. Soft tissue calcification
- C. Muscle weakness
- D. Increased urine output
Correct Answer: B
Rationale: In suspected hyperphosphatemia, soft tissue calcification supports it, not tetany, weakness, or high output. High phosphate binds calcium deposits form, unlike hypocalcemia's tetany. Leadership notes this imagine stiffness; it guides treatment, aligning with electrolyte care effectively.
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.