Stephanie delegates effectively if she has authority to act, which is BEST defined as:

Correct Answer: C

Rationale: Authority, for Stephanie, is the legitimate right to act sanctioned power to delegate beyond just directing, accountability, or ordering. In her role, this means assigning orientation tasks with official backing, ensuring compliance. Leadership hinges on this, balancing responsibility with power in a hospital where clear authority prevents chaos, enabling her to guide new nurses effectively toward patient care goals within her educational mandate.

Correct Answer: A

Rationale: Post-abdominal surgery, an NG tube to low intermittent suction decompresses the stomach, aiding recovery. Absence of bowel sounds indicates ileus paralysis of intestinal motility a potential complication like obstruction or peritonitis, requiring provider notification for imaging or intervention. NG output of 200 mL in 4 hours (50 mL/hr) is expected, removing fluid or gas, while distension may occur but isn't urgent unless worsening with other signs. Gastric residual of 50 mL is minimal, not concerning with suction. Absent bowel sounds signal a critical deviation, demanding prompt reporting to prevent escalation, reflecting the nurse's role in vigilant postoperative monitoring.

Correct Answer: C

Rationale: With an indwelling catheter, clean the site daily is priority, not emptying, securing, or fluids. Cleaning cuts infection others help but germs at entry matter most. Leadership ensures this imagine cloudy urine; it prevents UTI, aligning with catheter care effectively.

Correct Answer: D

Rationale: D all aid understanding. Nurse leaders learn cultures for better care, contrasting with ignorance. In healthcare, it bridges gaps, aligning leadership with inclusive communication.

Correct Answer: A

Rationale: For pantoprazole in GERD, take before meals, not PRN, spicy, or stop. PPIs block acid pre-meal PRN's ineffective, spices worsen, stopping risks rebound. Leadership teaches this imagine relief; it ensures efficacy, aligning with GI care effectively.

Correct Answer: A

Rationale: Administering eye drops requires technique to ensure delivery and comfort. Asking the client to look upward while instilling drops positions the cornea away from the dropper, allowing medication to pool in the lower conjunctival sac, minimizing irritation and maximizing absorption per standard protocol. Placing drops on the cornea risks injury and reflex blinking, wiping outer to inner spreads contaminants toward the tear duct, and holding 5 cm (2 in) above is excessive 1-2 cm avoids splashing. Looking upward is safe, effective, and client-friendly, aligning with nursing practice to deliver ocular meds accurately, preventing complications like infection or trauma in a delicate area.

Correct Answer: A

Rationale: Case managers coordinate complex, long-term care needs, making a client with neurological deficits post-stroke an ideal referral. Strokes often result in ongoing rehabilitation, therapy, and resource needs physical, occupational, or home health requiring sustained planning and cost management beyond acute care. A minor sprain, resolved infection, or one-time dressing change involves short-term, straightforward interventions, manageable by bedside staff without case management's scope. The stroke client's deficits demand interdisciplinary coordination, monitoring, and advocacy, aligning with the case manager's role to optimize recovery, reduce readmissions, and navigate healthcare systems, ensuring comprehensive support for a condition with lasting impact.

Correct Answer: B

Rationale: Preoperative lab review identifies risks impacting surgery anemia, electrolytes, or organ function. Hemoglobin 7.8 g/dL below the normal 12-15 g/dL for females or 13-17 g/dL for males indicates anemia, reducing oxygen-carrying capacity, a concern for anesthesia and healing, warranting provider notification for possible transfusion or delay. Potassium 3.8 mEq/L (normal 3.5-5.0), sodium 140 mEq/L (135-145), and creatinine 0.9 mg/dL (0.6-1.2) are within range, posing no immediate threat. Low hemoglobin directly affects surgical safety, triggering urgent communication to adjust the plan, ensuring optimal oxygenation and recovery, a critical nursing responsibility in preoperative care coordination.

Correct Answer: C

Rationale: Leadership and followership link not one-way, same, or solo. Nurse leaders like team trust rely on this, contrasting with hierarchy. In healthcare, mutual influence thrives, aligning leadership with partnership.