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
The Correct Answer is A,C,D,B
A. Documenting the date and time of the behavior provides an objective record of the incident and establishes a basis for discussion. C. Discussing the issue privately with the UAP allows the manager to address the behavior, understand the underlying cause, and provide guidance in a confidential setting. D. Planning scheduled break times can help prevent recurrence by ensuring the UAP knows when it is appropriate to leave the unit. B. Evaluating the UAP for signs of improvement allows the manager to monitor progress and determine whether further intervention or support is needed.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Keep the bed in the lowest position and initiate seizure and fall precautions: While seizure and fall precautions may be necessary for safety, the client's symptoms, including right-sided weakness and sluggish speech, are indicative of a potential stroke rather than a seizure. Immediate intervention to assess for and treat possible stroke is critical.
B. Place an indwelling urinary catheter and measure strict intake and output: Although urinary management may be necessary, it is not the priority in this situation. The client's symptoms suggest a neurological issue that requires urgent assessment and intervention.
C. Maintain elevated positioning of the dependent joints on affected side: Elevating the dependent joints is a strategy used in managing conditions like stroke to prevent complications such as edema, but it does not address the immediate need for stroke assessment and intervention.
D. Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy: Correct! The client's presentation with right-sided weakness and sluggish speech suggests a possible ischemic stroke. Starting IV access and reviewing inclusion criteria for IV fibrinolytic therapy (tPA is crucial for timely intervention to restore blood flow and minimize neurological damage.
Correct Answer is ["A","C","D"]
Explanation
A. Monitoring the client for signs of infection is essential, especially given the history of MRSA, which could recur or be ongoing.
B. Calling the healthcare provider for a prescription without evidence of current infection is premature.
C. Collecting screening cultures for MRSA is important for detecting current colonization or infection.
D. Placing the client on contact transmission precautions is a standard practice for patients with a history of MRSA to prevent the spread of infection[6].
E. Obtaining a sputum specimen for culture and sensitivity may be indicated if there are respiratory symptoms or a high risk of MRSA pneumonia, but it is not specified in this scenario.
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