Nguyens’ Elimination

Nam Nguyen has been prescribed the following medicines:
• Lisinopril 20 mg PO daily
• Hydrochlorothiazide 25 mg PO daily in the a.m.
• Metformin 500 mg PO before breakfast and lunch
Today he had blood drawn for analysis. Following are the electrolyte panel results:
Sodium 136 mEq/L
Potassium 3.0 mEq/L
Chloride 96 mEq/L
Bicarbonate 24 mEq/L
BUN 18 mg/dL
Creatinine

Question
0.8 mg/dL

1. Review the lab results. Compare Nam’s lab work with the established norms for these values. Based on the lab results, what kind of assessment questions would be appropriate to ask Nam?
2. Use your pharmacology text to review Nam’s medications. Which, if any, of these medicines might be contributing to Nam’s lab results?
3. What teaching would be appropriate for Nam?
For reference please use :
Treas, L. S., Wilkinson, J. M., Barnett, K. L., & Smith, M. H. (2018). Basic Nursing: Thinking, Doing, and Caring(2nd ed.).

Sample Solution

that while the transformational leader is motivating the followers by inspiring them to reach their common goal together, the transactional leader is using what could be considered a give&take approach in order to determine the followers to move towards their common goal (Bass & Bass, The Bass Handbook of Leadership: Theory, Research, and Managerial Applications , 2009). While Bass’ model for conceptualising leadership is focusing on the leader’s persona, positioning the leader at the core of leadership, the Leader Member Exchange (LMX) theory focuses on the relationship implied by leadership (Glynn & DeJordy, 2010). This theory emphasises the importance of leader-member dyads. It argues that leadership is a continuous exchange between the leader and every follower rather than being just a one-way process from leader towards followers (Graen & Uhl-Bien, 1995).
Research has shown the potential positive effect of leadership style and LMX on performance. Transformational leadership was found to be associated with positive behaviours like learning (Raes, Lismont, Decupyer, & van den Bossche, 2013; Garcia-Morales, Jimenez-Barrionuevo, & Gutierrez-Gutierrez, 2012) and innovation (Garcia-Morales, Jimenez-Barrionuevo, & Gutierrez-Gutierrez, 2012; Gumusluoglu & Ilsev, 2009) but less is researched on transactional leadership’s impact. Moreover, LMX was shown to be a mediator in the relationship between transformational leadership and organisational citizenship behaviour (Wang, Law, Hackett, Wang, & Chen, 2005) but it is not clear whether a similar phenomenon is also valid for the transactional leadership.
Societal and Scientific value
Given the impact that psychological safety has on teams’ performance outcomes, it is undoubtedly crucial for health care. Thus, gaining insight into how leadership influences psychological safety is valuable. Being a transactional or a transformational leader is not a label that a leader is keeping regardless of situations and/or followers but rather a set of behaviours that are influenced by context

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