Nursing Elites

1. Which advice is most beneficial for a new nurse manager?

• A. Strive to embody the manager your staff desires while also aligning with your administration's expectations.
• B. Keep in mind that it may take 6 months to feel at ease in a new role.
• C. Begin by mentoring other novice nurse managers.
• D. Participate in substantial personal growth endeavors.

Correct answer: B

Rationale: The most helpful advice for a new nurse manager is to understand that it can take up to 6 months to feel comfortable in a new position. This allows the individual to manage their expectations and give themselves time to adapt to their new role. Choice A may be overwhelming and could cause conflicting priorities for the new nurse manager. Choice C, while valuable, might not be the immediate focus for someone new to the role. Choice D, although important, may not be as time-sensitive as the adjustment period in the new position.

2. A nurse manager is focusing on improving communication on the unit. Which of the following best describes the importance of this focus?

• A. The nurse manager's focus on communication is essential to ensure that all staff members are informed, understand their roles, and can work together effectively to provide quality care.
• B. The nurse manager's focus on communication is important to ensure that information is shared effectively and that there is a clear understanding of roles and responsibilities on the unit.
• C. The nurse manager's focus on communication is crucial to ensuring that all staff members are working together effectively and that there is a shared understanding of the unit's goals and priorities.
• D. The nurse manager's focus on communication is vital to creating an open and transparent environment where staff members feel comfortable sharing information and concerns.

Correct answer: A

Rationale: The correct answer is A. Effective communication is essential for ensuring that all staff members are informed, understand their roles, and can collaborate effectively to provide quality care. Choice B focuses more on information sharing and understanding roles but lacks emphasis on effective teamwork and quality care provision. Choice C mentions staff working together effectively and understanding unit goals, but it does not explicitly highlight the importance of staff being informed and understanding their roles. Choice D emphasizes creating an open environment for sharing information and concerns, which is important but does not encompass the broader aspects of effective communication as described in choice A.

3. The healthcare provider is assessing a client with suspected diabetes insipidus. Which of the following clinical manifestations would support this diagnosis?

• A. Polyuria and polydipsia
• B. Hypertension and bradycardia
• C. Weight gain and edema
• D. Oliguria and thirst

Correct answer: A

Rationale: Polyuria (excessive urination) and polydipsia (excessive thirst) are classic clinical manifestations of diabetes insipidus. In this condition, there is a deficiency of antidiuretic hormone, leading to the inability of the kidneys to concentrate urine effectively, resulting in increased urine output (polyuria) and consequent thirst (polydipsia). Hypertension and bradycardia (Choice B) are not typical findings in diabetes insipidus. Weight gain and edema (Choice C) are more indicative of conditions such as heart failure or nephrotic syndrome. Oliguria (decreased urine output) and thirst (Choice D) are contradictory symptoms to what is seen in diabetes insipidus.

4. A client with DM is experiencing symptoms of hypoglycemia. Which action should the nurse take first?

• A. Give the client a glass of orange juice.
• B. Administer insulin as ordered.
• C. Check the client's blood glucose level.
• D. Notify the healthcare provider.

Correct answer: C

Rationale: The correct first action when a client with DM is experiencing symptoms of hypoglycemia is to check the client's blood glucose level. This step is crucial to confirm hypoglycemia before initiating any treatment. Giving the client orange juice (Choice A) is a common intervention for treating hypoglycemia, but it should not be done before confirming the blood glucose level. Administering insulin (Choice B) is not appropriate for hypoglycemia as it would further decrease the blood glucose levels. Notifying the healthcare provider (Choice D) can be important, but the immediate priority is to assess the blood glucose level to guide treatment.

5. A client with DM is taking regular and NPH insulin every morning. The nurse should provide which instruction to the client?

• A. Take the regular insulin first, then the NPH insulin.
• B. Take the NPH insulin first, then the regular insulin.
• C. Mix the insulins in a separate syringe.
• D. Take the regular insulin first and immediately follow it with the NPH insulin.

Correct answer: A

Rationale: The correct instruction for the client is to take the regular insulin first, then the NPH insulin. Regular insulin should be administered before NPH insulin to prevent contamination and maintain the potency of each insulin type. Choice B is incorrect because NPH insulin should not be taken before regular insulin. Mixing the insulins in a separate syringe, as suggested in choice C, is not recommended as it may alter the effectiveness of the insulins. Choice D is also incorrect as taking the regular insulin first and immediately following it with NPH insulin is not the recommended administration sequence.

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