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An assistive personnel (AP) comes to work with a new set of artificial nails. The nurse takes the AP to a private location to discuss the issue. Which of the following statements by the nurse is appropriate?
- A. I want you to review the facility's policy on personal attire before you begin the shift.
- B. There is a higher risk of infection for our clients associated with artificial nails.
- C. Why would you wear artificial nails to work when you know it's against the rules?
- D. You should know that artificial nails have a very unprofessional appearance.
Correct Answer: B
Rationale: The correct answer is B: There is a higher risk of infection for our clients associated with artificial nails. This statement is appropriate because it directly addresses the potential harm that the AP's artificial nails could pose to clients. Artificial nails can harbor bacteria and increase the risk of transmitting infections in a healthcare setting. It focuses on the importance of infection control and patient safety.
Other choices are incorrect:
A: While reviewing facility policy is important, it does not directly address the issue of infection risk.
C: This statement is accusatory and does not promote a constructive dialogue about infection control.
D: Commenting on appearance is not relevant to the infection risk associated with artificial nails.
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A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to an assistive personnel (AP) for which of the following clients?
- A. A client who is 3 days postoperative following a craniotomy
- B. A client who is 3 days postoperative following gastric bypass surgery
- C. A client who is 2 hr postoperative following an abdominal hysterectomy
- D. A client who is 1 hr postoperative following a thyroidectomy
Correct Answer: B
Rationale: The correct answer is B because a client who is 3 days postoperative following gastric bypass surgery is stable and unlikely to have immediate complications. Vital signs can be safely delegated to an assistive personnel (AP) for this client.
Choice A is incorrect because a client who is 3 days postoperative following a craniotomy may still be at risk for neurological complications that require close monitoring by a nurse.
Choice C is incorrect because a client who is only 2 hours postoperative following an abdominal hysterectomy is still in the immediate postoperative period and requires frequent monitoring by a nurse.
Choice D is incorrect because a client who is only 1 hour postoperative following a thyroidectomy is in the immediate postoperative period and may have potential complications that require close monitoring by a nurse.
Overall, the key factor in delegating obtaining vital signs to an AP is the stability of the client's condition postoperatively.
An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?
- A. The client who is in protective isolation
- B. The client who is actively dying and requires IV pain medication
- C. The client who is 3 days postoperative and requires a dressing change
- D. The client who requires frequent ambulation
Correct Answer: B
Rationale: The correct answer is B: The client who is actively dying and requires IV pain medication. The RN should assume responsibility for this client because as the registered nurse, they are the most qualified to manage complex care needs, such as IV pain medication administration and end-of-life care. The RN's advanced knowledge and skills make them best suited to provide appropriate assessment, intervention, and coordination of care in this critical situation.
Choice A is incorrect because the client in protective isolation requires meticulous adherence to infection control practices, which can be safely delegated to the LPNs or AP under the RN's supervision.
Choice C is incorrect as a dressing change for a client 3 days postoperative is within the scope of practice for the LPNs or AP and does not require the RN's direct involvement.
Choice D, the client requiring frequent ambulation, can be delegated to the LPNs or AP, as this task does not require the RN's specialized skill set.
A nurse is preparing a report for the quality improvement committee about medication errors. Which of the following data should the nurse include to evaluate the effectiveness of current interventions?
- A. The number of staff trained on medication safety protocols.
- B. The cost of implementing new medication scanners.
- C. The percentage of medication errors before and after interventions.
- D. The satisfaction scores from staff using new medication systems.
Correct Answer: C
Rationale: The correct answer is C, the percentage of medication errors before and after interventions. This data is crucial for evaluating the effectiveness of current interventions because it directly measures the impact of the interventions on reducing medication errors. By comparing the percentage of errors before and after the interventions, the nurse can determine if the interventions have been successful in improving medication safety.
Choice A is incorrect because while staff training is important, it does not directly measure the effectiveness of interventions on reducing errors.
Choice B is incorrect as the cost of implementing new scanners is not a direct indicator of effectiveness in reducing medication errors.
Choice D is incorrect as staff satisfaction scores do not necessarily reflect the actual impact on medication error reduction.
In summary, monitoring the percentage of medication errors before and after interventions provides a clear, objective measure of the effectiveness of current interventions in improving medication safety.
A nurse manager observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse plan to take first?
- A. Report the observation to the nurse caring for that client.
- B. Inform the nursing supervisor.
- C. Approach the man and ask why he is making copies.
- D. Notify hospital security.
Correct Answer: C
Rationale: The correct answer is C: Approach the man and ask why he is making copies. This is the first action the nurse should take to gather information and assess the situation. By directly addressing the man, the nurse can determine his intentions and potentially stop any unauthorized activity. Reporting to the nurse caring for the client (A) may lead to delays in addressing the issue directly. Informing the nursing supervisor (B) is important, but immediate action is needed. Notifying hospital security (D) should be done after gathering more information.
A charge nurse is reviewing documentation in the medical record from a newly licensed nurse. Click to highlight the findings that indicate this nurse requires additional education.
- A. The client is inappropriate and is a huge fall risk
- B. The provider has denied this RN's requests for physical or chemical restraints
- C. They appear 'medically stable
- D. the partner is at bedside and said that their spouse is always complaining or arguing
- E. Morphine 10mg IV given orally
- F. The client has a history of major depressive disorder and alcohol use disorder
Correct Answer: A,B,C,D
Rationale: The correct answer is A, B, C, and D. A indicates the nurse's lack of understanding of patient safety by not recognizing the fall risk. B suggests a lack of knowledge on restraint alternatives. C shows an inadequate assessment of the patient's overall condition. D reflects poor communication skills and lack of understanding of family dynamics. Choices E and F are not necessarily indicative of a need for additional education based on the information provided.