The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:

Correct Answer: D

Rationale: Patient privacy and data security are paramount in healthcare, governed by laws like HIPAA. Allowing the resident to use the nurse's login violates these principles, as each provider must use their own credentials to access and modify patient records. This ensures accountability every action is traceable to the individual who performed it and protects the nurse from liability for entries she didn't make. Offering to log off after the resident's use or adding the note herself compromises this accountability, potentially leading to errors or legal issues if the resident's input is inaccurate. Asking the resident to sign the note under her ID still ties her login to his actions, which is insufficient. Requiring the resident to use his own login upholds professional standards, safeguards patient information, and maintains clear responsibility for chart entries.

Correct Answer: A

Rationale: For fluticasone in asthma, rinse mouth, not PRN, shake, or 5-second hold. Steroids risk thrush rinsing prevents, PRN's rescue, hold's 10 seconds. Leadership teaches this imagine white patches; it ensures safety, aligning with asthma care effectively.

Correct Answer: A

Rationale: The nurse must prioritize the client with shortness of breath when supine, a potential sign of late-pregnancy complications like preeclampsia or heart strain, over heartburn, ring tightness, or non-painful contractions. Dyspnea signals respiratory or cardiac distress say, from fluid overload needing urgent assessment to prevent maternal-fetal harm. Heartburn's common, ring issues suggest edema (less acute), and contractions could be Braxton Hicks, not immediate labor. In nursing leadership, triaging this call first ensures safety; a delay might miss hypoxia, risking oxygen delivery to the fetus. Picture a 38-week pregnant woman gasping this demands swift action, guiding care prioritization in high-stakes obstetric settings effectively.

Correct Answer: C

Rationale: The rational decision-making model uses a stepwise, logical approach to maximize objectives, unlike political, experimentation, or trial-and-error. Nurse managers employing this like scheduling staff to reduce overtime analyze options systematically, contrasting with intuitive methods. This ensures decisions align with goals, such as patient safety or resource efficiency, critical in healthcare's structured environment. Leadership here emphasizes evidence over politics or guesswork, fostering trust and consistency in high-stakes settings where errors impact lives.

Correct Answer: A

Rationale: Tingling in the hand after plugging in an IV pump suggests electrical malfunction possibly a short circuit or grounding issue posing shock or fire risks. Turning off the pump immediately halts potential harm, prioritizing client and staff safety, allowing assessment (e.g., cord damage) and tagging for repair. Increasing the rate ignores the symptom, worsening exposure, while taping the cord assumes a fix without evidence, delaying resolution. Notifying maintenance alone prolongs risk until they arrive. Shutting off aligns with safety-first principles, mitigating electrical hazards swiftly, critical in a clinical setting where equipment failure can escalate, ensuring protection until a full check confirms functionality.

Correct Answer: A

Rationale: In a 70-year-old, diverticulosis pouches in the colon is common, unlike obstructions, appendicitis, or diverticulitis, which is inflammation of those pouches. Aging slows motility and weakens walls, raising diverticulosis risk; it's often asymptomatic but prevalent. Obstructions or appendicitis aren't age-specific, and diverticulitis requires infection. Leadership means knowing this imagine screening an elder with vague discomfort; recognizing diverticulosis guides diet advice, preventing complications. This reflects nursing's role in age-appropriate care, enhancing safety and health in geriatric populations effectively.

Correct Answer: A

Rationale: Before amoxicillin for a UTI, review serum creatinine, not WBC, glucose, or potassium. Penicillins are renally cleared creatinine flags kidney function, guiding dosing. Others track infection or unrelated issues. Leadership checks this imagine oliguria; it prevents toxicity, aligning with antibiotic care effectively.

Correct Answer: A

Rationale: Implementing a team nursing approach requires staff buy-in to ensure smooth adoption and effective collaboration. Introducing the new approach and creating a task force to plan its implementation actively involves the existing staff, giving them a sense of ownership and control over the change process. This strategy fosters acceptance by addressing concerns, encouraging input, and building a collaborative environment, which is critical in healthcare settings where teamwork directly impacts patient outcomes. Simply announcing the change without engagement risks resistance, as staff may feel blindsided or undervalued. Training only new staff excludes current employees, potentially creating resentment or confusion, while leaving staff to adapt independently neglects the need for structured guidance. Involving staff in planning leverages their expertise, reduces anxiety about the unknown, and aligns with leadership principles that prioritize communication and inclusion, ultimately enhancing the transition to a team-based model.

Correct Answer: A

Rationale: For methotrexate in RA, monitor WBC, not creatinine, glucose, or potassium. This immunosuppressant risks leukopenia infection looms if low. Kidneys matter, but marrow's primary. Leadership watches this imagine fever; it ensures safety, aligning with RA therapy effectively.