Leadership HESI - Nurselytic

Correct Answer: A

Rationale: Bradycardia in a client with hypothyroidism is the most concerning finding as it may indicate severe hypothyroidism, leading to decreased heart rate. Bradycardia can be a sign of myxedema coma, a life-threatening condition that requires immediate medical attention. Dry skin, constipation, and depression are common symptoms associated with hypothyroidism but are not as acutely concerning as bradycardia.

Correct Answer: C

Rationale: The correct answer is C: "
To help the insulin absorb better." Rotating injection sites is important as it helps to ensure better insulin absorption and reduces the risk of developing lipodystrophy. Option A is incorrect as rotating sites primarily aims to optimize insulin absorption, not prevent scar tissue. Option B is inaccurate because rotating injection sites does not necessarily make the injections less painful. Option D is incorrect as the primary reason for rotating injection sites is not related to the aesthetics of the skin but rather to enhance insulin absorption and prevent complications.

Correct Answer: B

Rationale: The correct instruction for the nurse to include is to advise the client to avoid walking barefoot. This recommendation is crucial for clients with diabetes to prevent foot injuries and infections. Walking barefoot can lead to unnoticed wounds or ulcers due to reduced sensation in the feet (neuropathy) common in diabetes.
Choice A is incorrect as heating pads can cause burns and should be avoided.
Choice C is incorrect because soaking feet in hot water can also lead to burns and skin damage.
Choice D is incorrect as tight shoes can increase the risk of pressure sores and restrict blood flow, which is detrimental for individuals with diabetes.

Correct Answer: A

Rationale: The correct answer is 'Networking.' Networking involves interacting with others to exchange information and develop professional or social contacts. In this scenario, the nurse manager engages in networking by speaking with staff, patients, family members, and administration to understand their perspectives and build relationships. This activity helps the manager gather insights that can positively impact patient care.


Choice B, 'Employee development,' focuses on activities aimed at improving staff skills and performance, which is not the primary focus of the manager's actions described.
Choice C, 'Coaching,' involves providing guidance and support to individuals to help them achieve specific goals, which is not explicitly depicted in the scenario.
Choice D, 'Monitoring,' typically involves overseeing or supervising activities to ensure compliance with standards or objectives, which does not fully capture the manager's proactive engagement in building relationships and gathering information through interactions.

Correct Answer: D

Rationale: The correct intervention for a client with syndrome of inappropriate antidiuretic hormone (SIADH) is to restrict oral fluids. This is because SIADH leads to excessive production of antidiuretic hormone, causing water retention and dilutional hyponatremia. By restricting oral fluids, the nurse helps prevent further water retention and imbalance of electrolytes. Encouraging increased fluid intake (
Choice
A) would exacerbate the condition by further increasing fluid retention. Administering hypertonic saline (
Choice
B) is not the primary treatment for SIADH, as it may worsen the imbalance. Monitoring for signs of dehydration (
Choice
C) is not appropriate since SIADH leads to water retention, not dehydration.