Nurse is going to administer nitroglycerin ointment. Which of the following is correct?

Correct Answer: A

Rationale: Nitroglycerin ointment applies to a non-shaved area with taped ends, not washed, same spot, or spread to 4 inches. Hairless skin ensures absorption tape secures dose, rotating sites prevents irritation. Leadership teaches this imagine rash from reuse; proper technique relieves angina safely. This reflects nursing's procedural precision, ensuring efficacy effectively.

Correct Answer: A

Rationale: For losartan in HTN, monitoring BP shows understanding, not PRN, salt, or stopping. ARBs lower BP tracking ensures control, not sporadic use or salt increase. Leadership confirms this imagine stability; it ensures efficacy, aligning with HTN care effectively.

Correct Answer: C

Rationale: The Great Man theory posits leaders are innately gifted, born with leadership capacity, not developed a view Ms. Caputo encounters. Trait theory focuses on specific qualities, Charismatic on charm, and Situational on adaptability. Historically male-centric, Great Man suggests figures like a pioneering nurse manager emerge naturally. In practice, this might imply Ms. Caputo's predecessor had inherent flair, but her own growth challenges this, favoring trainable skills over destiny. Understanding this, she can blend natural strengths with learned strategies to lead effectively in her hospital unit.

Correct Answer: B

Rationale: Powerful individuals, like hospital executives, shape decisions with their values say, cost-cutting over diminished influence, delegation, or consistent altruism. In nursing, a CEO's efficiency focus might override staff pleas, impacting care delivery. They rarely delegate big calls, and while effects on others matter, self-congruence often trumps. Leadership navigates this reality; a unit manager might adapt to such edicts, ensuring patient safety despite top-down biases, balancing power dynamics with care priorities in a structured environment.

Correct Answer: A

Rationale: In suspected hypernatremia, confusion supports it, not high output, pulses, or twitching. High sodium alters brain urine drops, pulses vary, twitching's hypo. Leadership notes this imagine delirium; it guides fluids, aligning with electrolyte care effectively.

Correct Answer: C

Rationale: Workaholic isn't a stress buster, unlike gathering, meditation, or missing. Nurse leaders like relaxation promote relief, contrasting with overwork. In healthcare, balance aids, aligning leadership with health (D assumed missing).

Correct Answer: B

Rationale: For a diabetic with gastroparesis, the nurse expects metoclopramide, a prokinetic that speeds gastric emptying, addressing delayed motility from neuropathy unlike omeprazole or ranitidine for acid reflux, or metronidazole for infections. Gastroparesis causes nausea and poor glucose control; metoclopramide enhances peristalsis, aligning food digestion with insulin timing. In nursing leadership, anticipating this ensures patient comfort and metabolic stability, critical when diabetes complicates digestion. Imagine a patient with bloating and erratic sugars metoclopramide targets the root, not just symptoms, showcasing how nurses advocate for tailored therapy, optimizing care in chronic illness management effectively.

Correct Answer: B

Rationale: B reflects the goal: develop/demonstrate competence, avoid incompetence. Nurse leaders train staff to excel, like mastering procedures, contrasting with showing weakness. In healthcare, competence ensures safety, aligning leadership with skill and confidence.

Correct Answer: A

Rationale: For bumetanide in HF, monitor potassium, not calcium, magnesium, or sodium. Loop diuretics excrete potassium hypokalemia risks arrhythmias, others shift less. Leadership watches this imagine weakness; it ensures safety, aligning with cardiac care effectively. This reflects nursing's focus on electrolyte balance.