What is the leadership style of a nurse manager who changes the policy regarding sterile dressing changes and directs the staff to follow the new procedure?

A. Developing a caring rapport with clients is correct. Building a strong, trusting relationship with clients can help reduce the likelihood of miscommunication or misunderstandings, which could lead to negligence. A caring rapport promotes effective communication and patient satisfaction.
B. Failing to notify the provider of a change in the client's condition is incorrect. Failing to notify the provider when a client's condition changes is an example of negligence. Nurses must report any changes in the patient's condition promptly to prevent harm.
C. Following standards of care is correct. Adhering to established standards of care is essential to ensure that the nurse provides safe and competent care. Deviating from these standards can lead to negligence and potential liability.
D. Communicate effectively with other health team members is correct. Effective communication among healthcare team members helps ensure that everyone is informed about the patient's condition and care plan. Poor communication is a common cause of medical errors and negligence.
E. Fully documenting assessments, interventions, and evaluations is correct. Proper documentation is a legal record of the care provided. Thorough, accurate documentation helps protect nurses from liability and serves as evidence of care in the event of a legal dispute.
F. Failing to document care provided is incorrect. Failure to document the care provided is a form of negligence. Documentation is essential for patient safety and for providing a clear, detailed record of care, which protects both the nurse and the patient.
G. Ignoring facility policies and procedures is incorrect. Ignoring facility policies and procedures increases the risk of negligence and potential harm to patients. Policies and procedures are put in place to ensure the delivery of safe and effective care, and failure to follow them could lead to liability.

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.