The staff on a medical-surgical unit is in conflict with the occupational therapy department. What type of communication will be used to discuss the problems?

Correct Answer: B

Rationale: The correct answer is B: Lateral communication. In this scenario, the conflict between the staff and the occupational therapy department requires communication between individuals at the same hierarchical level. Lateral communication enables direct discussion and collaboration among peers to address issues and find solutions. A: Downward communication involves communication from higher to lower levels in the hierarchy, which would not be suitable for resolving conflicts between different departments. C: Distorted communication implies a breakdown in the communication process, leading to misunderstandings and misinterpretations, which would not be effective in addressing the conflict. D: Upward communication involves communication from lower to higher levels in the hierarchy, which may not be the most appropriate method for resolving conflicts between departments.

Correct Answer: D

Rationale: The correct answer is D: Glycosylated hemoglobin level. This test provides an average blood glucose level over the past 2-3 months, reflecting long-term glycemic control. It is preferred for monitoring treatment effectiveness in diabetes. Urine dipstick for glucose (A) only detects current glucose levels in urine, not overall control. Oral glucose tolerance test (B) evaluates how the body processes glucose, not long-term control. Fasting blood glucose level (C) provides a snapshot of blood glucose at a specific moment, not long-term control.

Correct Answer: D

Rationale: The correct answer is D. This statement indicates a need for additional teaching because it shows a lack of understanding about diabetes complications. Here's the rationale: 1. Diabetes can lead to complications even if the patient doesn't need insulin. 2. Complications like heart disease, neuropathy, and kidney damage can still occur in type 2 diabetes. 3. Believing that not needing insulin means no complications is a misconception. 4. Patients with type 2 diabetes need to manage their condition carefully to prevent complications. 5. Therefore, educating the patient about potential complications is crucial for their overall health.

Correct Answer: D

Rationale: The correct answer is D because an elevated BUN level of 52 mg/dL indicates potential kidney dysfunction, which is a contraindication for metformin due to the risk of lactic acidosis. A: Blood glucose level of 174 mg/dL is slightly high but not a contraindication for metformin. B: Weight gain is unrelated to metformin administration. C: Chest x-ray does not directly impact metformin administration.

Correct Answer: C

Rationale: The correct answer is C: Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery. Rationale: 1. Administering insulin falls under the scope of practice for an LPN/LVN. 2. Administering lispro insulin before surgery helps maintain the patient's blood glucose within a safe range during the procedure. 3. LPN/LVNs are trained to administer medications safely and accurately. Summary: A: Communication with the circulating nurse requires critical thinking and interpretation, which may be beyond the scope of an LPN/LVN. B: Discussing the reason for insulin therapy involves patient education and interpretation, which are typically responsibilities of a registered nurse. D: Planning strategies to prevent hypoglycemia or hyperglycemia requires higher-level critical thinking and assessment skills, usually performed by a registered nurse.