The nurse is caring for a client on a medical surgical unit who is now cyanotic and pulseless.
Which leadership style is most effective for the nurse to use when managing a code blue for resuscitating the client?

Democratic.

Authoritarian.

Laissez-faire.

Transformational.

Answer and Explanation

The Correct Answer is B

Choice A rationale

A democratic leadership style, while effective in many situations, may not be the best approach during a code blue. This style often involves group decision-making, which can be time-consuming.

Choice B rationale

An authoritarian leadership style is often most effective during a code blue. This style involves clear, direct communication and quick decision-making, which are crucial in emergency situations.

Choice C rationale

A laissez-faire leadership style involves a hands-off approach, which is not appropriate during a code blue. Quick decision-making and direct leadership are needed in these situations.

Choice D rationale

While a transformational leadership style can be effective in motivating and inspiring staff, it may not be the best approach during a code blue. This style often involves big-picture thinking and long-term goals, which are not the focus during an emergency situation.

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Correct Answer is C

Explanation

Choice A rationale

Having the patient void is not the immediate priority. While it is important to ensure the bladder is not distended, which could interfere with labor progress, the vital signs suggest a more urgent concern.

Choice B rationale

Asking the patient if she needs pain medication is important for comfort measures during labor, but it is not the immediate priority. The nurse’s first responsibility is to ensure the safety of the mother and baby.

Choice C rationale

Turning the patient on her side and rechecking the blood pressure is the correct action. The maternal blood pressure is low, which could indicate supine hypotensive syndrome. This occurs when the gravid uterus compresses the inferior vena cava when the woman is supine, reducing venous return to the heart. Turning the woman on her side may relieve this pressure and improve blood pressure.

Choice D rationale

Notifying the healthcare provider of the findings is important, but it is not the first action the nurse should take. The nurse should first address the mother’s hypotension by turning her on her side.

A. The client’s daughter, who is the primary caregiver. B. The client. C. The client’s partner. D. The client’s son, who has a durable power of attorney.

Correct Answer is B

Explanation

Choice A rationale

While the client’s daughter, who is the primary caregiver, may have a significant role in the client’s care, the decision to sign the informed consent ultimately lies with the client if they are deemed competent.

Choice B rationale

The client, who is alert and oriented to person, place, and time, and has advance directives, is the most appropriate person to sign the informed consent. As long as the client is competent and understands the information provided, they have the right to make their own medical decisions.

Choice C rationale

The client’s partner does not have the legal authority to sign the informed consent on behalf of the client unless the client is deemed incompetent and the partner is designated as the legal representative.

Choice D rationale

The client’s son, who has a durable power of attorney, can only sign the informed consent on behalf of the client if the client is deemed incompetent. Since the client is alert and oriented, they should be the one to sign the informed consent.

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The nurse is caring for a client on a medical surgical unit who is now cyanotic and pulseless.Which leadership style is most effective for the nurse to use when managing a code blue for resuscitating the client?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is caring for a client who has a history of dementia.The client is alert and oriented to person, place, and time, and has advance directives.The client is scheduled for a procedure that requires informed consent.Which of the following persons should sign the informed consent?

Correct Answer is B

Explanation

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The nurse is caring for a client on a medical surgical unit who is now cyanotic and pulseless.
Which leadership style is most effective for the nurse to use when managing a code blue for resuscitating the client?