An experienced nurse tells the nurse-manager that working with a new graduate is impossible because the new graduate will not listen to suggestions. The new graduate comes to the nurse-manager describing the senior nurse's attitude as challenging and offensive. What action is best for the nurse manager to take?

Correct Answer: D

Rationale: The correct answer is D. The nurse manager should facilitate a meeting between both nurses to identify ways of working together. This approach promotes open communication, allows both nurses to express their perspectives, and fosters collaboration to address the conflict. By involving both nurses in finding solutions, the nurse manager promotes accountability and empowers them to take ownership of resolving their differences. This approach also promotes teamwork and mutual understanding, leading to a more positive work environment. Other Choices: A: Having both nurses meet separately with a mental health consultant may not address the root cause of the conflict and could potentially escalate the situation. B: While listening actively is important, simply offering suggestions may not fully address the underlying issues causing the conflict. C: Asking the senior nurse to examine mentoring strategies may be beneficial, but it does not directly address the need for both nurses to communicate and collaborate effectively.

Correct Answer: D

Rationale: The correct answer is D: Breath sounds. Pitting edema can be a sign of heart failure, a potential side effect of amlodipine. Assessing breath sounds can help determine if the edema is due to heart failure. Bladder distention (A) is not directly related to edema caused by amlodipine. Serum albumin level (B) is important for assessing protein status but not the immediate concern in this scenario. Abdominal girth (C) is more relevant for assessing liver function or ascites, not the primary concern with pitting edema.

Correct Answer: C

Rationale: The correct action is to measure the length of the apneic periods. By measuring the length, the nurse can gather crucial information about the severity and frequency of the Cheyne-Stokes respirations. This data can help in determining the appropriate interventions and monitoring the client's condition. Elevating the head of the bed may help with breathing, but it does not directly address the apneic periods. Auscultating breath sounds and suctioning the oropharynx are not the priority actions in this situation.

Correct Answer: D

Rationale: The correct answer is D because maintaining fluid balance is crucial in acute glomerulonephritis to prevent complications like fluid overload or dehydration. A urine output of 1 to 2 ml/kg/hr indicates proper kidney function. A: Activity tolerance is important but not the top priority. B: Absence of skin breakdown is important but not directly related to the condition. C: Nutritional status is vital but not as urgent as fluid balance in this case.

Correct Answer: A

Rationale: The correct answer is A: Ineffective airway clearance. Postoperative clients are at risk for respiratory complications such as atelectasis due to anesthesia effects and decreased mobility. In this case, a flank incision for ureter lithotomy may cause pain, impairing deep breathing and coughing, leading to ineffective airway clearance. Priority is given to airway management to prevent respiratory complications. Altered nutrition (B), fluid volume excess (C), and activity intolerance (D) are important but not as immediate as ensuring adequate oxygenation and preventing respiratory compromise.