A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?

Discuss the LPN's behavior with other nurses on the unit.

Review the LPN's personnel file.

Talk with the clients who have reported the LPN's lack of care.

Reassign some of the LPN's client care to assistive personnel.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Discussing the LPN's behavior with other nurses could potentially lead to gossip and does not address the core issue.

B. Reviewing the LPN's personnel file provides insight into the LPN's past performance and any previous issues, which can help in understanding the current situation and deciding on the next steps.

C. Talking with the clients is important to understand their concerns, but it does not directly address the LPN's behavior and effectiveness.

D. Reassigning client care to assistive personnel does not address the root cause of the problem and may not be an appropriate or effective solution without further investigation.

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Correct Answer is A

Explanation

Rationale:

A. Radiologic is correct as a "dirty bomb" (radiological dispersal device) involves the dispersal of radioactive materials.

B. Anthrax is a biological agent, not associated with a dirty bomb.

C. Chemical refers to a chemical weapon, which is not what a dirty bomb involves.

D. Sarin is a nerve agent, not related to the concept of a dirty bomb.

A. Prescribing naloxone to reverse the effects of the morphine B. Asking the client to sign the surgical consent form C. Delaying the surgery until a member of the client's family is reached D. Invoking implied consent

Correct Answer is D

Explanation

Rationale:

A. Naloxone would reverse morphine effects, which is not relevant to the immediate need for surgical intervention.

B. The client might not be able to sign the consent if under the effects of morphine, and obtaining consent might be delayed.

C. Delaying surgery might not be appropriate if the client’s condition is critical and requires urgent intervention.

D. Implied consent is used in emergencies when a patient cannot provide consent due to their condition, and it is assumed they would consent to life-saving treatment.

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A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department receives report from an emergency responder who states a client is being transported following exposure to a "dirty bomb". The nurse should prepare to care for a client that has been exposed to which of the following types of agents?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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