The nurse is caring for a client with a colostomy. Which finding indicates a potential complication?

Correct Answer: D

Rationale: With a colostomy, a dark, dusky stoma signals complication, not stool, pink, or odor. Dusky suggests necrosis ischemia risks loss, unlike normal output, color, or smell. Leadership notes this imagine no pulse; it prompts surgery, aligning with ostomy care effectively. This reflects nursing's assessment skills, ensuring timely intervention.

Correct Answer: A

Rationale: Designing a patient education program for hypertension requires reliable, specific data on patient outcomes, trends, and needs, best sourced from a clinical database. This repository contains structured, patient-specific information like blood pressure readings or medication responses ideal for identifying patterns and tailoring education. Biomedical technologies, such as monitors, generate raw data but don't organize it for planning. E-mail is a communication tool, not a data source. Internet sources offer general information but lack the precision and relevance of a clinical database. Using this database ensures the program is evidence-based, targeted, and effective, leveraging real patient data to inform content and monitoring strategies.

Correct Answer: B

Rationale: Meeting staff to tackle weekend sick calls with their input reflects shared governance nurses co-shape solutions, like schedule tweaks, boosting ownership. It's not discipline, performance bashing, or safety cuts collaboration rules. In your unit, this addresses morale and staffing, aligning with Magnet® ideals where staff voice drives change, cutting absenteeism through trust and partnership, a participative fix.

Correct Answer: D

Rationale: All communication, listening, attitude aid interaction. Nurse leaders like team talks rely on these, contrasting with isolation. In healthcare, it's holistic, aligning leadership with connection.

Correct Answer: D

Rationale: Self-awareness ties to spindle neurons , not A/B (repeated), or C. Nurse leaders like mindfulness rely on this, contrasting with unawareness. In healthcare, it enhances judgment, aligning leadership with neuroscience.

Correct Answer: C

Rationale: Integrating solutions daily marks Henry's third stage of change (freezing), per Lewin's model, solidifying new norms after unfreezing (questioning) and changing (solving/strategizing). In his unit, embedding a response-time protocol into routines stabilizes improvements, unlike earlier stages of doubt or planning. This leadership action cements higher satisfaction and morale, showing nurses a consistent path forward, critical for sustaining patient care gains in a medical setting transitioning from dysfunction.

Correct Answer: A

Rationale: For methotrexate in RA, monitor liver enzymes, not glucose, potassium, or WBC (though relevant). It's hepatotoxic elevated AST/ALT signal damage, needing adjustment. Leadership watches this imagine jaundice; it ensures safety, aligning with RA care effectively. This reflects nursing's focus on therapy monitoring.

Correct Answer: B

Rationale: For hypertension, limiting salt shows understanding, not avoiding exercise, moderate alcohol, or more caffeine. Salt raises BP cutting it helps, unlike exercise bans, small drinks, or stimulants. Leadership confirms this imagine edema; it reduces strain, aligning with HTN care effectively.

Correct Answer: A

Rationale: Staff reviewing catheter protocols uses evidence-based practice data (CAUTI rates) and nurse insights refine care, cutting infections. It's not discipline, teamwork flaws, or oversight cuts frontline drives. On the team, this targets a spike with evidence, as in ulcer fixes, aligning with EBP's focus on proven practice, leveraging staff to enhance safety and outcomes effectively.