NUR 107 Exam 1 - Questions and Answers

NUR 107 Exam 1 - Questions and Answers The nurse is getting accustomed to the role of nurse manager. What are requirements for this nursing role? Select all that apply. Creating schedules for the unit Managing the unit's operational budget Introducing methods to improve staff efficiency Evaluating the success of the unit policies When a staff member has successfully completed the activities delegated by the nurse manager, the result is usually that the staff member is more: Committed How might one define leadership? Leadership is the process of guiding, educating, motivating, and directing others. Of all factors, what is the most important risk factor in pulmonary disease? active and passive cigarette smoke A nurse is educating a home care client on how to do pursed-lip breathing. What is the therapeutic effect of this procedure? prolonging expiration to reduce airway resistance What prevents air from reentering the pleural space when chest tubes are inserted? a closed water-seal drainage system A nurse is educating a client who has congested lungs on how to keep secretions thin and more easily coughed-up and expectorated. What would be one self-care measure to teach? Increase oral intake of fluids to 2 to 3 quarts per day. Which category of medications may be administered by nebulizer or metered-dose inhaler to open narrowed airways? Bronchodialators A physician prescribes the use of water-seal chest tube drainage for a client at a health care facility. What should the nurse ensure when using the water-seal chest tube drainage? The chest tube should not be separated from the drainage system unless clamped. A nurse uses a nasal cannula to deliver oxygen to a client who is extremely hypoxic and has been diagnosed with chronic lung disease. What is the most important thing to remember when using a nasal cannula? It can cause the nasal mucosa to dry in case of high flow. The nurse is caring for a postoperative adult client who has developed pneumonia. The nurse should assess the client frequently for symptoms of: Atelectasis The home care nurse visits a client who has dyspnea. The nurse notes the client has pitting edema in his feet and ankles. Which additional assessment would the nurse expect to observe? Crackles in the lower lobes A nurse is educating a postoperative client on how to use an incentive spirometer. What is an accurate step that should be included in the education plan? Instruct the client to inhale slowly and as deeply as possible through the mouthpiece, without using the nose. The role of management: plan, organize, direct, and control available human, material, and financial resources to deliver quality care to patients and families. A nurse manager of a busy cardiac unit observes disagreements between the RNs and the LPNs related to schedules and nursing responsibilities. At a staff meeting, the manager compliments all the nurses on a job well done and points out that expected goals and outcomes for the month have been met. The nurse concludes the meeting without addressing the disagreements between the two groups of nurses. Which conflict resolution strategy is being employed by this manager? Collaborating Competing Compromising Smoothing Smoothing- The manager who resolves conflict by complimenting the parties involved and focusing on agreement rather than disagreement is using smoothing to reduce the emotion in the conflict. The original conflict is rarely resolved with this technique Competing: Competing results in a win for one party at the expense of the other group. Collaborating: a joint effort to resolve the conflict with a win-win solution. All parties set aside previously determined goals, determine a priority common goal, and accept mutual responsibility for achieving this goal. Compromising: occurs when both parties relinquish something of equal value.