A charge nurse is teaching a newly licensed nurse about hazardous and infectious materials. Which of the following situations should the nurse include as a safe handling technique?

A nurse places a mask on a client with tuberculosis before transport to the radiology department.

A nurse cleans up a blood spill with hydrogen peroxide.

A nurse removes her gown after leaving the client's room.

A nurse disconnects an indwelling urinary catheter from the drainage bag to collect a specimen.

Answer and Explanation

The Correct Answer is A

Choice A reason: A nurse places a mask on a client with tuberculosis before transport to the radiology department is a safe handling technique, as it prevents the transmission of airborne pathogens to other clients and staff. The nurse should also wear a respirator and follow the standard and airborne precautions.

Choice B reason: A nurse cleans up a blood spill with hydrogen peroxide is not a safe handling technique, as it can damage the skin and mucous membranes and cause irritation and infection. The nurse should use a bleach solution or an approved disinfectant to clean up blood spills and follow the standard and contact precautions.

Choice C reason: A nurse removes her gown after leaving the client's room is not a safe handling technique, as it can contaminate the environment and expose the nurse to infectious agents. The nurse should remove the gown before leaving the client's room and dispose of it in a designated receptacle.

Choice D reason: A nurse disconnects an indwelling urinary catheter from the drainage bag to collect a specimen is not a safe handling technique, as it can introduce bacteria into the urinary tract and cause infection. The nurse should use a sterile syringe and needle to aspirate the specimen from the sampling port and follow the standard and contact precautions.

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Correct Answer is C

Explanation

Choice A reason: This is not the correct choice because training LPNs to reinforce teaching with clients using a standardized teaching plan is a possible solution, but not the first step. The nurse manager should first identify the root cause of the problem before implementing any interventions.

Choice B reason: This is not the correct choice because including documentation of client education as part of unit nurses' annual performance evaluation is a way to monitor and evaluate the staff's performance, but not a way to improve it. The nurse manager should first address the barriers and challenges that prevent the staff from documenting client education effectively.

Choice C reason: This is the correct choice because determining factors that interfere with the documentation of client education is the first step in the quality improvement process. The nurse manager should use data analysis, staff feedback, and observation to find out the reasons for the low documentation results, such as lack of time, knowledge, skills, or resources.

Choice D reason: This is not the correct choice because offering incentives for the staff once the unit's results are back in adherence with the benchmark is a way to motivate and reward the staff, but not a way to solve the problem. The nurse manager should first implement evidence-based strategies to improve the documentation of client education, such as providing education, feedback, and tools.

A. The client's code status B. The client's vital signs C. The client's name D. A prescribed consultation

Correct Answer is C

Explanation

Choice A reason: The client's code status is not part of the background information, but rather the recommendation or request section of the SBAR Communication tool. The code status indicates the level of resuscitation the client wishes to receive in case of a cardiac or respiratory arrest.

Choice B reason: The client's vital signs are not part of the background information, but rather the assessment section of the SBAR Communication tool. The vital signs reflect the client's current condition and response to treatment.

Choice C reason: The client's name is part of the background information, along with the client's age, diagnosis, reason for admission, and relevant medical history. The background information provides a brief overview of the client's situation and helps to identify the client.

Choice D reason: A prescribed consultation is not part of the background information, but rather the recommendation or request section of the SBAR Communication tool. A consultation is a referral to another health care professional for further evaluation or management of the client's condition.

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A charge nurse is teaching a newly licensed nurse about hazardous and infectious materials. Which of the following situations should the nurse include as a safe handling technique?

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Naxlex Comprehensive Predictor Exams

During a staff meeting, a unit manager reviews the results for documenting client education and finds that they are below the benchmark. Which of the following strategies should the nurse manager implement first?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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