Nokea
The nurse manager of a medical-surgical unit is asked to determine if the unit should adopt a new care delivery system. Which behavior is an example of an autocratic style of leadership?
- A. Call a meeting and educate the staff on the new delivery system being used.
- B. Organize a committee to investigate the various types of delivery systems.
- C. Wait until another unit has implemented the new system and see if it works out.
- D. Discuss with the nursing staff if a new delivery system should be adopted.
Correct Answer: A
Rationale: An autocratic leader unilaterally decides and informs staff, as in educating them on a chosen system. Committees, waiting, and staff discussions are democratic or laissez-faire.
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The nurse is caring for the client who is experiencing symptoms associated with pheochromocytoma. Which intervention should be included in the plan of care for this client?
- A. Offer distractions such as television or music.
- B. Encourage family and friends to visit often.
- C. Assist with ambulation at least three times a day.
- D. Administer nicardipine for hypertension.
Correct Answer: D
Rationale: Nicardipine controls hypertension caused by excess catecholamines in pheochromocytoma.
At 10 A.M., a client with Type 1 diabetes becomes very irritable and starts to yell at the nurse. Which initial nursing assessment should take priority?
- A. Blood pressure and pulse
- B. Color and temperature of skin
- C. Reflexes and muscle tone
- D. Serum electrolytes and glucose
Correct Answer: D
Rationale: Irritability in Type 1 diabetes suggests hypoglycemia or hyperglycemia, requiring priority assessment of serum glucose.
The clinic nurse is evaluating the client with type 1 DM who intends to enroll in a tennis class. Which statement made by the client indicates that the client understands the effects of exercise on insulin demand?
- A. I will carry a high-fat, high-calorie food, such as a cookie.'
- B. I will administer 1 unit of lispro insulin prior to playing tennis.'
- C. I will eat a 15-gram carbohydrate snack before playing tennis.'
- D. I will need to rest for a while during tennis if I feel sweaty or shaky.'
Correct Answer: C
Rationale: Excessive exercise without sufficient carbohydrates can result in unexpected hypoglycemia.
The nurse discusses the long-term effects of diabetes mellitus with the client and realizes that the client needs further teaching when the client identifies which occurrence as a complication of this disease?
- A. Blindness
- B. Stroke
- C. Renal failure
- D. Liver failure
Correct Answer: D
Rationale: Liver failure is not a common complication of diabetes, unlike blindness, stroke, and renal failure.
Which client would the nurse identify as being at risk for developing diabetes?
- A. The client who eats mostly candy and potatoes.
- B. The 22-year-old client who has been taking birth control pills.
- C. The client who has a cousin who has had diabetes for two (2) years.
- D. The 38-year-old female who delivered a 10-pound infant.
Correct Answer: D
Rationale: Delivering a large infant (macrosomia) indicates gestational diabetes history, a strong risk factor for type 2 diabetes. Candy/potatoes, birth control, and family history are less specific.