A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

Review facility policies for taking scheduled breaks.

Discuss time management strategies with the nurses.

Provide coverage for the nurses' breaks.

Determine the reasons the nurses are not taking scheduled breaks.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Reviewing facility policies is important but should follow understanding the underlying cause of the issue.
B. Discussing time management strategies may be helpful but is premature without knowing why breaks are being missed.
C. Providing coverage for breaks is a possible solution, but it should be based on identified barriers.
D. Determining the reasons the nurses are not taking breaks is the first step, as it allows the charge nurse to address the root cause and implement an appropriate and effective solution.

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Correct Answer is A

Explanation

Rationale:
A. Nonmaleficence refers to the ethical principle of avoiding harm or preventing injury. By removing a fall hazard, the nurse is actively working to prevent harm to the client.
B. Veracity means telling the truth and being honest with clients, which is not demonstrated in this scenario.
C. Utility focuses on the greatest good for the greatest number, not on preventing individual harm in a direct care setting.
D. Autonomy is respecting the client’s right to make their own decisions about care, but it does not apply to removing environmental hazards.

A. "I need to tie the restraint to the part of the bed frame that moves." B. "I should tie the restraints using a square knot." C. "I will remove a client's restraints every 4 hours." D. "A provider can write a prescription for restraints as needed."

Correct Answer is A

Explanation

Rationale:
A. Restraints should always be tied to a part of the bed frame that moves with the client (not to side rails), using a quick-release knot to ensure client safety.
B. A square knot is unsafe because it is difficult to untie quickly in an emergency. Quick-release knots should be used instead.
C. Restraints must be removed at least every 2 hours (not every 4) to assess skin, circulation, and provide ROM exercises.
D. A provider’s prescription for restraints must be time-limited and specific; prescriptions "as needed" (PRN) are not allowed.

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A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain that preventing client injury by removing a fall hazard demonstrates which of the following ethical principles?

Correct Answer is A

Explanation

A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

A nurse manager is evaluating the clients on the unit who are assigned isolation precautions. Which of the following client assignments should the nurse manager identify as correct?

A staff nurse is supervising a newly licensed nurse who is preparing to administer an intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse is appropriate?

A charge nurse is reviewing the medication administration records of six clients. Exhibits Which of the following client situations require an incident report? Select all that apply.

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A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)

A charge nurse is discussing incident reports with a newly licensed nurse. Which of the following situations should the nurse identify as requiring an incident report?