Nursing Questions about Leadership and Management (16-20)

Nursing Questions about Leadership and Management

16. A client who is mouth breathing is receiving oxygen by face mask. The nursing assistant asks the registered nurse (RN) why a water bottle is attached to the oxygen tubing near the wall oxygen outlet. The RN responds that the primary purpose of this feature is to:

a) prevent fluid loss from the lungs during mouth breathing
b) give the client added fluid via the respiratory rate
c) humidify the oxygen that is bypassing the client's nose
d) prevent the client from getting nosebleed

17. A nurse and a nursing assistant are assisting the respiratory therapist to position a client for postural drainage. The nursing assistant asks the nurse how the respiratory therapists selects the position used for the procedure. The nurse responds that a position is chosen that will use gravity to help drain secretions from which of the following areas?

a) trachea
b) main bronchi
c) lobes
d) alveoli

18. A registered nurse (RN) is observing a licensed practical nurse (LPN) caring for a deceased client whose eyes will be donated. The RN intervenes if the LPN performs which action?

a) elevates the head of the bed
b) closes the client's eyes
c) places wet saline gauze pads and ice pack on the eyes
d) closes the client's eyes and places a dry sterile dressing over the eyes

19. The nurse has recently been assigned to manage a pulmonary progressive unit at a large urban hospital. The nurse's leadership style is participative, with the belief that all staff members assist in decision making and the development of the unit's goals. The nurse is implementing which leadership style?

a) democratic
b) laissez faire
c) auticratic
d) situational

20. A physician has written an order for a vest restraint to be applied on a client from 10:00 pm to 7:00 am because the client becomes disoriented during the night and is at risk for falls. At 11:00 pm, the charge nurse makes rounds on all of the clients with the vest restraint, which observation by the charge nurse would indicate that the nurse who cared for this client performed an unsafe action in the use of the restraint?

a) a safety knot was used to secure the restraint
b) the client's record indicates that the restraint will be released every 2 hours
c) the restraint was applied tightly
d) the call light was placed within reach of the client

Nursing Questions about Leadership and Management:
Answers and Rationale

16) C
- The purpose of the water bottle is to humidify the oxygen that is bypassing the nose during mouth breathing. The humidified oxygen may help keep mucous membranes moist but will not substantially alter fluid balance (options A and B). A client who is breathing through the mouth is not at risk for nosebleeds.

17) C
- Postural drainage uses specific client positions that vary depending on the affected lobe(s). The positions usually involve having the head lower than the affected lung segment(s) to facilitate drainage of secretions. Postural drainage often is done in conjunction with chest percussion for maximum effectiveness. The other options are incorrect.

18) D
- When a corneal donor dies, the eyes are closed and gauze pads wet with saline are placed over them with a small ice pack. Within 2 to 4 hours, the eyes are enucleated. The cornea is usually transplanted with 24 to 48 hours. The head of the bed should also be elevated. Placing dry sterile dressings over the eyes serves no useful purpose.

19) A
- Democratic leadership is defined as participative with a focus on the belief that all members of the group have input into the decision making process. This leader acts as a resource person and facilitator. Laissez faire leaders assume a passive approach, with the decision making left to the group. Autocratic leadership dominates the group, with maintenance of strong control over the group. Situational leadership is based on the current events of the day.

20) C
- Restraints should never be applied tightly because that could impair circulation. The restraint should be applied securely (not tightly) to prevent the client from slipping through the restraint and endangering himself or herself. A safety knot should be used because it can easily be released in an emergency. Restraints, especially limb restraints, must be released every 2 hours (or per agency policy) to inspect the skin for abnormalities. The call light must always be within the client’s reach in case the client needs assistance.

After you reviewed your answers through its rationale, you can also go back to the first page to start from the beginning: 

Nursing Questions about Leadership and Management (1-5)

Or proceed to the next set of questions:

Nursing Questions about Leadership and Management (21-25)