An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

Note date and time of the behavior.

Evaluate the UAP for signs of improvement

Discuss the issue privately with the UAP.

Plan for scheduled break times

Answer and Explanation

The Correct Answer is C,A,D,B

C. Discussing the issue privately with the UAP is the first step as it directly addresses the behavior, provides an opportunity for immediate feedback, and allows the UAP to explain their actions.

A. Noting the date and time of the behavior is important for documentation and future reference but follows the initial discussion to ensure accurate recording of events.

D. Planning for scheduled break times may prevent future occurrences by providing clear expectations and structure for the UAP's work schedule.

B. Evaluating the UAP for signs of improvement would be the last step after the above interventions have been implemented to assess their effectiveness and the UAP's adherence to the expected behavior.

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Correct Answer is A

Explanation

A. Obtain a capillary glucose level: The symptoms of jitteriness and tachypnea in a newborn could be indicative of hypoglycemia, so the first action should be to assess the glucose level to determine if hypoglycemia is the cause.

B. Feed 30 mL of 10% dextrose in water: While providing dextrose may be necessary if hypoglycemia is confirmed, assessing the glucose level should be done first to guide appropriate treatment.

C. Wrap tightly in a warm blanket: While keeping the newborn warm is important, it is not the first action to take in this scenario where the newborn is displaying signs of possible hypoglycemia.

D. Encourage the mother to breastfeeD Breastfeeding may help increase the newborn's glucose level, but the priority is to assess the glucose level first to determine if hypoglycemia is present.

A. Initiate seizure precautions. B. Monitor serum potassium frequently. C. Assess pupillary response to light hourly. D. Measure urinary output every hour.

Correct Answer is D

Explanation

A. Initiate seizure precautions: Dopamine administration does not typically require seizure
precautions. The focus should be on monitoring for adverse effects related to blood pressure and urinary output.
B. Monitor serum potassium frequently: While electrolyte imbalances can occur with dopamine administration, the priority is to monitor urinary output as dopamine affects renal perfusion and urine output.
C. Assess pupillary response to light hourly: Monitoring pupillary response is important in some situations, but it's not the primary concern with dopamine administration.
D. Measure urinary output every hour: Correct! Dopamine is administered to improve renal perfusion and increase urine output in hypotensive patients. Monitoring urinary output every
hour is essential to assess the effectiveness of dopamine therapy and detect any signs of renal dysfunction or worsening hypotension.

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An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Three hours after birth, a newborn becomes jittery and tachypneic. What should the nurse do first?

Correct Answer is A

Explanation

A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 6 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

Correct Answer is D

Explanation

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