A nurse manager witnesses a nurse having a conflict with an assistive personal (AP). Which of the following actions should the nurse manager take first?

Provide training to recognize conflict resolution styles.

Clarify the role responsibilities with the nurse and AP.

Suggest using face-to-face communication to work out the conflict.

Identify the origin of the conflict to promote collaboration.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Provide training to recognize conflict resolution styles: While training is valuable for long-term team development, it is not an immediate intervention. Before choosing an appropriate strategy, the underlying cause of the conflict must be understood.

B. Clarify the role responsibilities with the nurse and AP: Role confusion can lead to conflict, but assuming that roles are unclear without investigation may not resolve the specific issue. Clarification should come after identifying what triggered the disagreement.

C. Suggest using face-to-face communication to work out the conflict: Encouraging open dialogue is helpful, but doing so before understanding the issue may escalate the conflict or result in an unproductive conversation. The manager needs background first.

D. Identify the origin of the conflict to promote collaboration: The first and most effective step is to determine the root cause of the conflict. This allows the manager to guide both parties toward resolution through understanding, communication, and appropriate action tailored to the situation.

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Correct Answer is C

Explanation

Rationale:

A. Obtain a urinalysis for the client every 3 days: Post-kidney transplant patients require frequent monitoring for signs of infection or rejection, especially in the first few days. Waiting 3 days between urinalyses may delay the detection of complications.

B. A urinary catheter will be in place for several weeks: Indwelling catheters are typically maintained for a few days postoperatively to monitor urine output, but prolonged use increases infection risk. Several weeks would be excessive unless complications arise.

C. Expect blood to be present in the urine after surgery: Hematuria is common immediately after kidney transplantation due to surgical manipulation and healing of the urinary tract. It usually resolves within a few days and is a normal early postoperative finding.

D. Clamp the client's urinary catheter for 20 min every 1 hr: Clamping the catheter can increase intravesical pressure and compromise graft function. Continuous urine drainage is preferred to allow for accurate monitoring and to reduce pressure on the new kidney.

A. Maintain the head of the client's bed at a 10° angle. B. Suction the client's airway every hour. C. Reposition the client by using the log rolling technique. D. Use a pillow to flex the client's neck.

Correct Answer is C

Explanation

Rationale:

A. Maintain the head of the client's bed at a 10° angle: A 10° angle is too low to effectively promote venous drainage from the brain. To reduce intracranial pressure (ICP), the head of the bed should generally be elevated to 30–45° to improve cerebral venous outflow.

B. Suction the client's airway every hour: Frequent suctioning increases intrathoracic pressure and can stimulate the vagus nerve, both of which may raise ICP. Suctioning should be done only when clinically indicated and using minimal duration and pressure.

C. Reposition the client by using the log rolling technique: Log rolling maintains spinal alignment and minimizes abrupt head or neck movement, which can increase ICP. This technique is especially important in patients with brain or spinal injuries to prevent sudden shifts in pressure.

D. Use a pillow to flex the client's neck: Neck flexion can obstruct jugular venous outflow, leading to increased ICP. The head and neck should remain in a neutral, midline position to facilitate venous drainage from the brain.

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A nurse manager witnesses a nurse having a conflict with an assistive personal (AP). Which of the following actions should the nurse manager take first?

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