A nurse is reviewing the laboratory results of a female client who has hypovolemia. Which of the following laboratory results would be a priority for the nurse to report to the provider?

Correct Answer: B

Rationale: The correct answer is B: Potassium 5.8 mEq/L. In hypovolemia, there is a decrease in blood volume leading to electrolyte imbalances. Potassium levels outside the normal range can be life-threatening, causing cardiac arrhythmias. Therefore, a potassium level of 5.8 mEq/L is a priority to report to the provider for prompt intervention. Rationale for why the other choices are incorrect: A: BUN within the normal range. It may indicate dehydration but not immediately life-threatening. C: Creatinine slightly elevated, indicating kidney function impairment but not as critical as potassium imbalance. D: Sodium within acceptable range, not an immediate concern in hypovolemia.

Correct Answer: B

Rationale: Unity of direction aligns Joey's team toward one goal, unlike span (supervision scope), command (one boss), or responsibility (accountability). In his unit, this unites nurses on a patient satisfaction target, streamlining efforts. Leadership here fosters collective focus e.g., improving response times vital in a busy hospital where fragmented aims dilute impact, ensuring Joey's vision translates into cohesive action for better care outcomes.

Correct Answer: C

Rationale: The correct answer is C: Orientation. Nursing graduates prioritize orientation as the most important factor when seeking their first job because it sets the foundation for their transition into the role. A thorough orientation program provides essential training, support, and guidance, which are crucial for their success and confidence in their new position. Location (A) may be important for convenience, but orientation directly impacts their ability to perform their duties effectively. Money (B) and vacation (D) are important but typically take a back seat to factors that directly impact their ability to excel in their new role.

Correct Answer: B

Rationale: Goal is competence development, avoiding incompetence , not A, C, D. Nurse leaders like skill growth pursue this, contrasting with failure. In healthcare, it drives quality, aligning leadership with excellence.

Correct Answer: C

Rationale: For cervical radioactive implants, requiring the client to wear a dosimeter at all times indicates a misunderstanding. Time limits, tongs for dislodgement, and distance are correct safety measures radiation risks are managed externally, not by client monitoring. The client isn't the staff; dosimeters track staff exposure. Leadership corrects this imagine unnecessary burden; it ensures proper radiation safety, aligning with oncology care effectively. This reflects nursing's focus on protocol accuracy.

Correct Answer: A

Rationale: The correct answer is A: Certification to contract. Certification to contract refers to having the legal capacity and authority to enter into a contract with an employer. This means the individual meets the necessary requirements and is legally allowed to engage in contractual agreements. Rationale: 1. Certification implies that the individual has met specific qualifications or criteria, ensuring they have the necessary skills and knowledge to engage in contract negotiations. 2. To contract indicates the ability to enter into a legally binding agreement, which is essential when establishing an employer-employee relationship. 3. The term "certification to contract" specifically addresses the ability to form contracts, distinguishing it from the other choices which do not directly relate to contractual agreements. Summary of Incorrect Choices: B: Certification to represent - While representation may be involved in contract negotiations, this choice does not directly address the ability to enter into a contract with an employer. C: Bargaining agreement - This refers to an agreement between labor and management, not the individual's ability to enter into

Correct Answer: D

Rationale: The manager's avoidance of discussion fuels destructive conflict, polarizing staff into camps and diverting energy from patient care to internal strife. This saps morale and focus, risking care quality, unlike constructive conflict that sparks solutions or dialogue. Cohesion against the manager might emerge, but the current split suggests fragmentation, not unity. Left unchecked, this tension undermines the unit's primary mission patient well-being making it the most accurate depiction of the situation's impact.

Correct Answer: A

Rationale: The correct answer is A: Confirmation. In Roger's diffusion of innovations theory, Confirmation is the stage where individuals evaluate the decision to adopt or reject an innovation after trying it out. In this scenario, the hospital implemented a course of action for shift change, and after a week, it was deemed inappropriate, indicating that the decision reached the Confirmation stage. Summary: - B: Implementation is incorrect as the hospital had already implemented the course of action. - C: Knowledge is incorrect as this stage involves acquiring information about the innovation. - D: Persuasion is incorrect as it focuses on influencing individuals to adopt the innovation, which is not the case in this scenario.

Correct Answer: A

Rationale: Effective delegation follows the five rights, including right direction clear, specific instructions. This client needs to ambulate using a walker three times today' provides precise guidance on task, frequency, and method, ensuring the AP understands expectations within their scope, promoting client mobility safely and consistently. Whenever they want' lacks structure, risking over- or under-ambulation, while as you see fit' delegates judgment beyond the AP's role, inviting error. Until they're tired' is vague and unsafe, ignoring clinical goals or limits. The specific direction supports rehabilitation, prevents confusion, and aligns with the nurse's oversight duty, ensuring the AP executes the task correctly while maintaining client safety and care plan adherence.