A client is recovering from an endoscopy and the nurse notes the client is drooling and coughing. What should the nurse assess first?

Correct Answer: A

Rationale: Post-endoscopy, drooling and coughing suggest impaired swallowing, so the nurse assesses the gag reflex first over oximetry, pupils, or lungs. Sedation can blunt this reflex, risking aspiration gag absence signals danger, needing airway protection before oxygen or neurological checks. Leadership prioritizes airway safety; imagine a client choking on saliva testing gag (e.g., with a tongue depressor) guides suction or positioning, preventing pneumonia. This focus ensures rapid, life-saving decisions, aligning with nursing's vigilance in post-procedure care, where seconds count.

Correct Answer: A

Rationale: Including staff to review infection control and barriers like glove shortages shows evidence-based practice, grounding solutions in data and frontline insight for effective HAI reduction. It's not just accountability, a teamwork flaw, or oversight cut, but using evidence (data, experience) to refine practice. On the team, this leverages nurses' daily realities, aligning with EBP's focus on informed, practical change, targeting infection spikes with precision.

Correct Answer: A

Rationale: Integrity defines honesty, responsibility, and maturity, unlike personality, intelligence, or flexibility. Nurse managers with integrity like admitting errors build trust, contrasting with mere charisma. It's critical in healthcare, where ethical lapses harm patients, aligning leadership with accountability and professional standards.

Correct Answer: A

Rationale: Wireless Computers on Wheels (WL COWs) enhance nursing workflow by bringing technology to the point of care. Their primary advantage is mobility, allowing nurses to document, access records, or review data bedside, improving efficiency and patient interaction. Small display screens and font size are potential drawbacks, not benefits, as they may reduce readability. Speed of operation depends on network and hardware, not an inherent advantage of COWs. Mobility stands out as the key benefit, enabling real-time data management across a unit, reducing trips to stationary terminals, and supporting timely care decisions, making it a critical factor in assessing their adoption.

Correct Answer: B

Rationale: A right-brain thinker, this nurse-manager leans on intuition gut feelings from experience over linear analysis (left-brain), transparency, or efficiency. In a busy unit, intuition might guide a quick staffing shift during a crisis, bypassing detailed data crunching. While transparency and efficiency matter, they're not tied to brain dominance; linear analysis contrasts this style. Nursing leadership benefits from such intuitive leaps like sensing a patient's unspoken distress blending creativity with clinical savvy. Years of managing chaotic wards hone this instinct, enabling rapid, effective decisions where rigid logic alone might lag, ensuring patient care adapts swiftly to unpredictable demands.

Correct Answer: D

Rationale: Collective action amplifies individual influence by uniting nurses around shared goals like improving care quality or conditions exceeding what one person could achieve alone. It's not about prioritizing nurses over others, defining the profession (a broader process), or patient advocacy for nurse needs. In the breakfast program example, nurses' collective effort swayed businesses, showcasing how group action magnifies impact, making this the most effective outcome of such efforts.

Correct Answer: C

Rationale: For levofloxacin in pneumonia, Achilles tendon pain needs reporting, not fever, HR 88, or sputum. Fluoroquinolones risk tendonitis/rupture pain flags this, unlike expected fever or cough. Leadership notes this imagine limping; it prompts drug switch, ensuring safety. This reflects nursing's side effect watch, aligning with antibiotic care effectively.

Correct Answer: C

Rationale: Mentoring socializes, unlike evaluating, consulting, or networking. Nurse leaders like onboarding do this, contrasting with critique. In healthcare, it fosters culture, aligning leadership with support.

Correct Answer: A

Rationale: In suspected hypernatremia, lethargy supports it, not high output, twitching, or strong pulses. High sodium alters brain function confusion signals need for fluids, unlike signs of other imbalances. Leadership notes this imagine drowsiness; it guides treatment, aligning with electrolyte care effectively. This reflects nursing's diagnostic precision.