In dealing with a conflict on a unit, the nurse manager decides to ask one of the staff nurses, who is not moving towards resolution, to transfer to another unit. What tactic has the manager implemented?

Correct Answer: C

Rationale: The correct answer is C: Suppression. The nurse manager chose to suppress the conflict by asking the staff nurse to transfer, avoiding direct confrontation. This tactic aims to remove the conflict from the unit without addressing the root cause. Avoidance (A) is not correct as the manager did take action. Withdrawal (B) implies the nurse manager removed themselves from the conflict, which is not the case. Competition (D) involves a win-lose approach, which is not evident in this scenario.

Correct Answer: C

Rationale: The correct answer is C. This question is most appropriate as unintentional weight loss is a common symptom of type 1 diabetes due to the body's inability to properly use glucose for energy. The nurse should ask about weight loss to assess the patient's overall health status. Explanation: A: Asking about anorexia assumes a specific eating disorder, which may not be relevant to the patient's symptoms of diabetes. B: Dark colored urine may indicate dehydration, but it is not specific to type 1 diabetes symptoms. D: Craving sugary drinks may suggest a preference for sweet beverages but does not directly relate to the onset of type 1 diabetes symptoms.

Correct Answer: B

Rationale: The correct answer is B: Glyburide stimulates insulin production and release from the pancreas. 1. Glyburide belongs to the sulfonylurea class of drugs, which works by stimulating the pancreas to produce and release more insulin. 2. This action helps to lower blood glucose levels in patients with type 2 diabetes. 3. By increasing insulin secretion, glyburide helps improve glucose utilization in the body. Incorrect choices: A: Glyburide does not decrease glucagon secretion from the pancreas; it primarily affects insulin production. C: Glyburide should not be taken if the morning blood glucose level is low to prevent hypoglycemia. D: Glyburide does not have a specific interaction with IV contrast media; caution is needed with other medications that may interact.

Correct Answer: A

Rationale: The correct answer is A: Select flat-soled leather shoes. This choice is important for a patient with peripheral arterial disease, type 2 diabetes, and sensory neuropathy as it helps prevent skin breakdown, reduce pressure on the feet, and minimize the risk of injury due to decreased sensation. Flat-soled leather shoes provide good support and protection. Explanation for why the other choices are incorrect: B: Apply heating pads on a low temperature - This can be dangerous for a patient with sensory neuropathy as they may not be able to feel if the heating pad is too hot, leading to burns. C: Avoid using callus remover for corns or calluses - While it is important to avoid injuring the skin, addressing foot care is not as critical as selecting appropriate footwear. D: Refrain from soaking feet in warm water for an hour each day - Prolonged soaking can increase the risk of skin breakdown and infections, so it is important to avoid this practice.

Correct Answer: B

Rationale: The correct answer is B: Noon blood glucose of 52 mg/dL. This value indicates hypoglycemia, which can lead to serious complications like confusion, seizures, or coma. Immediate assessment and intervention are crucial. A: Bedtime glucose of 140 mg/dL is within the normal range. C: Fasting blood glucose of 130 mg/dL is slightly elevated but doesn't require urgent assessment. D: 2-hr postprandial glucose of 220 mg/dL is elevated but not as critical as hypoglycemia.