A nurse is caring for a client who is receiving a blood transfusion. Which of the following actions should the nurse take if a transfusion reaction is suspected?

Correct Answer: A

Rationale: A suspected transfusion reaction fever, chills, rash signals a potentially life-threatening event like hemolysis or anaphylaxis, requiring instant action. Stopping the transfusion immediately halts further exposure to the causative agent (e.g., mismatched blood), prioritizing safety per protocol, followed by saline flush and provider notification. Increasing the rate worsens the reaction, risking volume overload or shock, while acetaminophen treats symptoms but not the cause, delaying care. Continuing and monitoring gambles with escalation seconds matter. Stopping aligns with transfusion safety standards, minimizing harm, enabling assessment (e.g., vital signs, urine), and preserving the client's stability, a critical nursing judgment in a high-risk procedure.

Correct Answer: B

Rationale: With levodopa/carbidopa in Parkinson's, dark urine needs urgent reporting, not nausea, drowsiness, or stiffness. Dark urine flags hemolysis or liver issues rare but serious unlike common nausea or expected drowsiness and stiffness. Leadership stresses this imagine jaundice; it prompts labs, ensuring safety. This reflects nursing's vigilance, aligning with Parkinson's therapy effectively.

Correct Answer: B

Rationale: Formal rights aid managers to lead not all leaders manage, all managers lead, or hierarchy. Nurse managers like authority use this, contrasting with informal sway. In healthcare, it blends roles, aligning leadership with power.

Correct Answer: C

Rationale: Strategic planning, Joey learns, sets long-term goals (3-5 years) and direction, not routine tasks, which operational planning covers. For his hospital, this means envisioning better care delivery, not daily schedules. Focusing on routines like shift assignments misses the broader scope of aligning resources and staff toward excellence. Joey's leadership hinges on this distinction, ensuring his workshop drives visionary change, like patient-centered innovations, to elevate his unit's impact over time in a bustling tertiary setting.

Correct Answer: A

Rationale: Private self-awareness aligns with beliefs, unlike esteem, public, or regulation. Nurse leaders like integrity act thus, contrasting with pressure. In healthcare, it ensures authenticity, aligning leadership with values.

Correct Answer: B

Rationale: Cultural differences aren't a skill, unlike communication, motivation, or leadership. Nurse leaders like motivating focus skills, contrasting with traits. In healthcare, it's action, aligning leadership with practice.

Correct Answer: B

Rationale: Informed consent requires the client to fully understand the procedure, risks, and alternatives, which is compromised if they've received meperidine, an opioid that impairs cognition and judgment. Obtaining consent from a relative is the appropriate action when the client's capacity is altered, ensuring a legally and ethically sound decision-making process. Having the client sign immediately risks invalid consent due to impaired comprehension, while waiting for the medication to wear off could delay critical surgery, potentially harming the client. Proceeding without consent is only permissible in life-threatening emergencies with no surrogate available, which isn't specified here. Contacting a relative upholds the ethical principle of autonomy by proxy, protects the client's rights, and aligns with legal standards, balancing urgency with the need for informed decision-making in an emergency setting.

Correct Answer: C

Rationale: Dyadic C is interpersonal communication. Nurse leaders use one-on-one talks, like patient consults, contrasting with mass or virtual methods. In healthcare, this personal approach strengthens rapport, aligning leadership with direct, effective connection.

Correct Answer: A

Rationale: Contingency Theory links behavior to personality and situation, unlike security, inspiration, or missing. Nurse managers like adapting in crises apply this, contrasting with fixed styles. It's key in healthcare's variability, aligning leadership with flexibility (assumed A).