Nokea
A nurse tells the unit manager, 'I am tired of all the changes on the unit. If things don't get better, I'm going to quit.' Which of the following responses by the unit manager is appropriate?
- A. So you are upset about all the changes on the unit?
- B. You should file a written complaint with hospital administration.
- C. Just stick with it a little longer. Things will get better soon.
- D. I think you have a right to be upset. I am tired of the changes, too.
Correct Answer: A
Rationale: The correct response is A: "So you are upset about all the changes on the unit?" This response is appropriate because it shows empathy and active listening by reflecting back the nurse's feelings. It acknowledges the nurse's concerns and opens up a dialogue for further discussion. Choice B is incorrect because escalating the issue to hospital administration may not address the nurse's underlying feelings. Choice C dismisses the nurse's concerns and implies they should just endure the situation. Choice D shifts the focus from the nurse to the unit manager's own feelings, which is not helpful in addressing the nurse's concerns.
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A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?
- A. Pharmacist
- B. Respiratory therapist
- C. Social worker
- D. Child protective services
Correct Answer: C
Rationale: A social worker can connect the family with financial resources to obtain the nebulizer, addressing the affordability issue.
A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?
- A. I'm having difficulty climbing the stairs at my house.
- B. I am tired of having pain in my joints all the time.
- C. I will need assistance with bathing.
- D. I need some help planning my meals to maintain my weight.
Correct Answer: C
Rationale: Difficulty with bathing, an activity of daily living, indicates a need for occupational therapy to address functional limitations.
A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse?
- A. Assess the staff nurses' knowledge deficit.
- B. Demonstrate use of the pump during medication administration.
- C. Plan an in-service education program on the unit.
- D. Pair an inexperienced nurse with an experienced nurse.
Correct Answer: A
Rationale: The correct answer is A: Assess the staff nurses' knowledge deficit. This is the priority action because it helps identify the root cause of the difficulty with the new IV infusion pumps. By assessing the staff nurses' knowledge deficit, the charge nurse can determine if additional training, education, or support is needed. This step is crucial in addressing the problem effectively and ensuring safe medication administration.
Other choices:
B: Demonstrating the use of the pump during medication administration may be helpful but should come after assessing the knowledge deficit.
C: Planning an in-service education program is important but should be based on the assessment of the staff nurses' knowledge deficit.
D: Pairing an inexperienced nurse with an experienced nurse may be beneficial but does not directly address the underlying issue of knowledge deficit.
A nurse is teaching a group of assistive personnel about airborne precautions. Which of the following statements should the nurse make?
- A. Clients who have varicella should be placed in a positive pressure room.
- B. A client who has influenza requires airborne precautions.
- C. An N95 respirator mask is required when caring for a client who has the measles.
- D. Masks are not required when more than 3 ft from a client who requires airborne precautions.
Correct Answer: C
Rationale: An N95 respirator is required for measles, an airborne disease, to protect against droplet nuclei transmission.
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique?
- A. The nurse puts on a face mask.
- B. The nurse turns her back to the sterile field.
- C. The nurse holds her hands above her waist.
- D. The nurse applies goggles.
Correct Answer: C
Rationale: Holding hands above the waist maintains sterility, as areas below the waist are considered non-sterile.