Scenario: As the charge nurse on a

Scenario: As the charge nurse on a night shift on an 18-bed medical surgical unit with a current census of 16 patients. As you are making rounds to check on the patients, you discover a patient, who started his first dose of a newly prescribed IV antibiotic near shift change, who demonstrates difficulty breathing and notice a flushing redness on the cheeks and neck with what looks like the development of hives. Transactional Leadership: Discuss how contingency reward and active management by exception could be used to intervene in the described scenario. Why might passive management by exception not be effective or actually be harmful?

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