A nurse manager is evaluating the time-management strategies of a newly licensed nurse on the pediatric unit. Which of the following actions taken by the nurse are effective time-management strategies? (Select all that apply.)

Correct Answer: A

Rationale: Effective time management maximizes efficiency and safety. Completing one task before starting another prevents multitasking errors, ensuring focus vital in pediatrics where precision matters. Taking time to plan care at shift's start prioritizes tasks, aligning with nursing process efficiency, reducing mid-shift chaos. Mentally visualizing a procedure before gathering equipment streamlines actions, minimizing delays from forgotten items, especially with children's unique needs. Documenting at shift's end risks recall errors and delays handoff, inefficient in a fast-paced unit. These strategies task completion, planning, visualization optimize workflow, reduce stress, and enhance care quality, equipping the novice nurse to manage time effectively in a demanding setting.

Correct Answer: A

Rationale: Warfarin's anticoagulation increases bleeding risk, requiring lifestyle adjustments. I will use a soft toothbrush to brush my teeth' shows understanding soft bristles minimize gum trauma, reducing bleeds, a practical tip in warfarin education. Continuing aspirin, an antiplatelet, heightens risk without provider okay, needing clarification. Avoiding an electric razor is backward electric is safer than blades, reducing cuts. Stopping broccoli (vitamin K source) isn't absolute consistency matters, not elimination. The toothbrush choice reflects safe self-care, aligning with bleeding prevention strategies, empowering the client to manage warfarin's effects, and confirming the nurse's teaching efficacy.

Correct Answer: A

Rationale: Smart cards in healthcare store critical patient data like medical history, allergies, and current treatments accessible across multiple facilities. For cardiology patients, who may face sudden emergencies like heart attacks, this technology ensures rapid and accurate treatment by providing immediate access to vital information in high-stakes situations, such as the Emergency Department. This can be life-saving when time is critical, and unfamiliar providers need instant, reliable data to act. Reduced wait times for specialists might occur indirectly but isn't the primary benefit, as scheduling depends on other factors. E-mail notifications and medication details are useful features, but they're secondary to the urgent, comprehensive data access smart cards provide in emergencies, making this the most significant advantage.

Correct Answer: B

Rationale: Administering medication via gastrostomy tube requires safety steps to ensure delivery and prevent complications. Flushing the tube with water before administration clears it, confirming patency and preventing clogs typically 15-30 mL per guidelines ensuring the drug reaches the stomach. Crushing an extended-release tablet alters its pharmacokinetics, risking overdose or inefficacy, contraindicated unless specified as crushable. Mixing with formula can cause interactions or clumping, impairing absorption, while skipping placement checks (e.g., aspirating gastric contents) risks misplacement into the lungs. Flushing first upholds medication safety principles, aligns with enteral administration standards, and protects the client from errors, critical in a route bypassing oral safeguards.

Correct Answer: B

Rationale: With flank pain from kidney stones and new chest pain, the nurse questions aspirin 325 mg daily, not morphine, ureterocystography, or commode. Aspirin's antiplatelet role fits MI but risks bleeding with stones; morphine eases pain, imaging diagnoses stones, and commode aids mobility. Leadership challenges this imagine hematuria worsening; aspirin could complicate urology care. This ensures safety, aligning nursing with risk-benefit analysis in dual-diagnosis scenarios effectively.

Correct Answer: B

Rationale: Your supervisor's advice gather info, then act aligns with conflict management, aiming to de-escalate the staff split over a practice issue. It's proactive, not democratic (group voting), team building (fostering unity), or evidence-based (research-driven), though data collection nods to the latter. Addressing the rift prevents entrenched camps, as seen in other scenarios, using a structured approach to resolve disputes, maintain care quality, and restore unit harmony, a core managerial skill.

Correct Answer: A

Rationale: Sharon's staff clamming up when she nears suggests suppressed disagreement, likely because two outspoken members dominate meetings, silencing others. This stifles open exchange, pushing discussions underground post-meeting huddles rather than reflecting robust communication or commitment. Creativity might emerge, but the pattern points to exclusion, not collaboration. Dominant voices marginalize others, a common team issue where unvoiced feelings fester, requiring Sharon to foster inclusivity for true team dialogue.

Correct Answer: B

Rationale: Sender is encoder , not listener, decoder, or receiver. Nurse leaders like giving orders encode, contrasting with receiving. In healthcare, clear sending is key, aligning leadership with communication start.

Correct Answer: B

Rationale: Supportive style aids in ambiguity, unlike directive, participative, or mixed. Nurse leaders like reassuring staff use this, contrasting with orders. In healthcare, it reduces stress, aligning leadership with care.