A client with a history of hypertension is prescribed lisinopril. Which instruction should the nurse include?

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Question 1 of 9

A client with a history of hypertension is prescribed lisinopril. Which instruction should the nurse include?

Correct Answer: A

Rationale: For lisinopril in HTN, monitor for dry cough, not potassium, meals, or stopping. ACE inhibitors cause cough potassium's risky, food's fine, dizziness needs MD. Leadership teaches this imagine hacking; it ensures awareness, aligning with HTN care effectively.

Question 2 of 9

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?

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.

Question 3 of 9

A nurse from a facility's float pool receives an assignment to float on a nursing unit. The float nurse tells the charge nurse that she has never worked on this unit before. How should the charge nurse respond?

Correct Answer: A

Rationale: A float nurse unfamiliar with a unit needs support to ensure competent care. Responding I will assign you to work with a registered nurse on the unit who is experienced and will act as a resource for you' provides a skilled mentor, easing the transition with real-time guidance on unit specifics protocols, clients, equipment. This leverages the float pool's purpose, builds capacity, and safeguards quality, especially with likely future floats. Figure it out' risks errors from inexperience, reassigning wastes resources, and limiting to APs restricts scope and learning. Pairing with an RN fosters collaboration, confidence, and safety, aligning with leadership's role in resource allocation and staff development.

Question 4 of 9

In addition to basic managerial functions of planning, organizing, staffing, directing, and controlling, leaders are ascribed:

Correct Answer: D

Rationale: Leaders handle strategic/external roles unlike procedural B) or internal. Nurse leaders like community outreach go beyond management, contrasting with routine. In healthcare, this expands influence, aligning leadership with broader impact.

Question 5 of 9

It is a managerial function that indicates leading the staff in the most applicable method.

Correct Answer: B

Rationale: Directing leads staff, unlike planning, organizing, or controlling. Nurse managers guide like assigning shifts contrasting with strategy or oversight. It's key in healthcare for real-time coordination, aligning leadership with operational flow.

Question 6 of 9

The receiver is also referred to as the

Correct Answer: C

Rationale: Receiver is decoder , not listener, encoder, or transmitter. Nurse leaders like staff interpreting rely on this, contrasting with sending. In healthcare, understanding completes the loop, aligning leadership with reception.

Question 7 of 9

Types of stress include

Correct Answer: D

Rationale: Psychological stress is a type, unlike mantra, chores, or factors. Nurse leaders like addressing anxiety tackle this, contrasting with tasks. In healthcare, recognizing mental stress is key, aligning leadership with emotional health.

Question 8 of 9

As part of a staff recognition program, the chief nursing officer decides that staff who demonstrate exceptional professional commitment will be recognized with a monetary award and a letter from the CNO. The outcome that the CNO wishes to achieve through this recognition program is:

Correct Answer: B

Rationale: The CNO's awards for commitment money and praise aim to boost staff retention, reinforcing loyalty to the organization's mission. Committed nurses stay, reducing turnover, a key goal in healthcare's staffing crisis. It's not directly about accountability, collaboration, or bargaining support, though it may foster those. Recognition ties effort to staying, as studies show appreciation cuts nurse exodus, aligning with the CNO's intent to keep dedicated talent.

Question 9 of 9

A client with rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?

Correct Answer: A

Rationale: For methotrexate in RA, monitor WBC, not creatinine, glucose, or potassium. This immunosuppressant risks leukopenia infection looms if low. Kidneys matter, but marrow's primary. Leadership watches this imagine fever; it ensures safety, aligning with RA therapy effectively.

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