Author Question: The nurse caring for a pediatric client recovering from surgery to repair a congenital heart defect ... (Read 108 times)

silviawilliams41 · **on:** Jul 22, 2018

The nurse caring for a pediatric client recovering from surgery to repair a congenital heart defect would include which of the following interventions to support the client's fluid status?

1. Limit fluids
2. Maintain intravenous therapy until day before discharge
3. Encourage fluids
4. Monitor output

Question 2

The new graduate nurse is interviewing with managers in the hospital. The nurse has decided that working for a manager who demonstrates a democratic style of leadership would be the best match for the nurse.

To determine the manager's style, the nurse asks the manager: 1. What shift will I be working?
2. How do you implement orientation?
3. How do you implement new unit policy?
4. What is your view of nurses working overtime?

laurnthompson · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Encourage fluids

Rationale:
The child should be encouraged to begin oral fluids and nutrition when permitted. Although oral fluids are rarely limited, intake and output should be carefully assessed. Fluids and antibiotics should be provided as ordered until the child's oral intake is normal. Once normal, the line can be converted to a heparin or saline lock. Both intake and output should be monitored.

Answer to Question 2

3. How do you implement new unit policy?

Rationale:
In order to determine the leadership style of the manager, the nurse would ask the manager how they handle new unit policies. If the manager states that an attempt to involve the staff in decision making, the nurse would know the manager has a participative style. Asking about the shift will not tell the nurse about leadership style. How is the manager implements orientation would not necessarily reveal the manager's leadership style. Working overtime is a unit or hospital rule, not a leadership style.