A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply.)

Monitor overall functions of the unit.

Reward and discipline staff as necessary

Make decisions on the unit.

Ensure goals of the facility are being met.

Delegate tasks to assistive personnel.

Answer and Explanation

Correct Answer : A,B,C,D

Rationale:
A. Monitoring overall functions of the unit is a core responsibility of a nurse manager. This includes overseeing patient care, staff performance, and workflow efficiency to ensure smooth operations.

B. Rewarding and disciplining staff falls under the nurse manager’s role in human resource management, ensuring accountability and promoting staff performance and morale.

C. Making decisions on the unit is part of the nurse manager’s responsibility to guide operations, resolve conflicts, and implement policies that support safe and effective patient care.

D. Ensuring facility goals are met involves aligning the unit’s operations with the organization’s mission, vision, and quality benchmarks. Nurse managers track performance metrics and implement initiatives to meet these objectives.

E. Delegating tasks to assistive personnel is typically the role of staff nurses, not the nurse manager. While nurse managers oversee delegation policies, the actual task assignment is generally handled by the direct care nurse providing patient care.

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Correct Answer is B

Explanation

Rationale:
A. A client experiencing chest pain with radiation to the arm is at high risk for a life-threatening condition such as myocardial infarction. This client would be tagged red (immediate) because they require urgent intervention to prevent death.

B. A client with a deep laceration to the leg who is stable and not experiencing life-threatening bleeding would be assigned a yellow tag (delayed). Yellow-tagged patients have serious injuries that require medical attention but can wait for a short period without immediate threat to life. This classification allows resources to be prioritized for patients who are in more critical condition.

C. A client with a large bruise to the shoulder with no other complications is considered a green tag (minor, “walking wounded”). This client’s injuries are not life-threatening and can safely wait for treatment.

D. A client who is unable to breathe without manual ventilation requires immediate life-saving intervention and would be tagged red (immediate) due to the high risk of death without urgent care.

A. A client who is scheduled for surgery and is having second thoughts after signing an informed consent B. A newly admitted client who has type 2 diabetes mellitus and is refusing to eat their dinner C. A client who is 1 day postoperative and has an increasing amount of serosanguineous drainage on the dressing D. A client who has pneumonia, reports shortness of breath, and has an oxygen saturation of 88%

Correct Answer is D

Explanation

Rationale:
A. A client who is having second thoughts about surgery requires support and clarification about informed consent, but this situation is not immediately life-threatening. The nurse can address this after more urgent needs are prioritized.

B. A client who is refusing dinner requires monitoring for blood glucose management, but this is not an immediate threat to life. The nurse can address dietary concerns after urgent clinical issues are managed.

C. Increasing serosanguineous drainage in a postoperative client is concerning for wound healing or early bleeding, but serosanguineous drainage is often expected postoperatively. The nurse should monitor the site and notify the provider if drainage continues to increase significantly, but it is less urgent than severe hypoxia.

D. A client with pneumonia, shortness of breath, and oxygen saturation of 88% is experiencing hypoxemia, which is a life-threatening condition requiring immediate intervention, such as supplemental oxygen and assessment for respiratory distress. According to ABC (Airway, Breathing, Circulation) prioritization, addressing impaired oxygenation takes precedence over other concerns.

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A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is D

Explanation

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