A new-to-practice nurse is experiencing bullying from an experienced nurse. What is the most appropriate action to take in this situation?

A. Monitor for increased intracranial pressure is correct. Following a transsphenoidal hypophysectomy, it is essential to monitor for signs of increased intracranial pressure (ICP) due to the proximity of the surgery to the brain and the risk of complications such as bleeding, swelling, or fluid buildup. Symptoms of increased ICP include headache, nausea, vomiting, and altered level of consciousness.
B. Monitor incision under the top lip for infection is correct. The incision for a transsphenoidal hypophysectomy is typically made under the top lip or at the base of the nose, and it is essential to monitor this site for signs of infection, such as redness, swelling, drainage, or increased pain.
C. Assess for signs of deep vein thrombosis (DVT) is incorrect. Although DVT prevention (e.g., ambulation, use of compression stockings) is important after surgery, monitoring for DVT is not a priority assessment specifically related to a transsphenoidal hypophysectomy. The other assessments are more directly related to potential complications from this specific type of surgery.
D. Development of meningitis is correct. Meningitis is a potential complication after a transsphenoidal hypophysectomy, especially if there is a breach in the nasal cavity or sinus, allowing for infection to spread. Signs of meningitis include fever, nausea, stiff neck, and headache.
E. Assess for signs of cerebrospinal fluid (CSF) leak is correct. A CSF leak is a serious complication of transsphenoidal surgery, as it can occur if the dura is punctured during the procedure. This leads to leakage of cerebrospinal fluid, which may manifest as a clear, watery drainage from the nose, a condition that should be assessed for immediately to prevent further complications like infection.

A. Coercive power is incorrect. Coercive power is based on the ability to punish or threaten others to gain compliance. In this situation, the nurse manager is not using punishment or threats, so this is not the correct answer.
B. Expert power is incorrect. Expert power is based on the knowledge and skills a person has in a specific area. While the nurse who developed the documentation system may have expertise, the manager's action is not based on the nurse's expertise but on offering a reward for the contribution.
C. Reward power is correct. Reward power is the ability to influence others by providing rewards such as paid leave, promotions, or other incentives. In this scenario, the nurse manager is using reward power by offering paid leave as a reward for the nurse's development of the new documentation system.
D. Referent power is incorrect. Referent power comes from personal relationships and the likability or charisma of a person. While the nurse manager may have referent power, in this case, the focus is on the reward granted to the nurse, which makes reward power the correct answer.