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?

Determine the reasons the nurses are not taking scheduled breaks

Provide coverage for the nurses' breaks

Review facility policies for taking scheduled breaks

Discuss time management strategies with the nurses

Answer and Explanation

The Correct Answer is A

a.   Before taking any further action, the charge nurse should first determine the reasons why the nurses are not taking their scheduled breaks. Understanding the underlying causes will help address the issue effectively.
b.   Providing coverage for the nurses' breaks may be necessary but should not be the first action taken. It is important to understand why the nurses are not taking breaks before providing coverage.
c.   While reviewing facility policies is important, it should not be the first step when addressing the issue of nurses not taking breaks.
d.   Discussing time management strategies with the nurses may be helpful, but it should come after understanding the reasons behind their behavior.

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Correct Answer is A

Explanation

Rationale:
a. Administering an enema for a scheduled endoscopy is within the scope of practice for an LPN. It involves a task that is repetitive, stable, and does not require critical thinking.
b. Developing an initial plan of care for a client with sickle cell anemia involves critical thinking and assessment, which are within the scope of practice for an RN.
c. A client transferring from the CCU after a myocardial infarction requires close monitoring and assessment, which are typically within the scope of practice for an RN.
d. Teaching a newly admitted client about self-administration of insulin involves education, assessment, and critical thinking, which are typically within the scope of practice for an RN.

A. Help the AP assist the client with the transfer B. Demonstrate the proper client transfer technique to the AP C. Instruct the AP to request assistance when unsure about a task D. Refer the AP to the facility procedure manual

Correct Answer is B

Explanation

a. While helping the AP assist the client with the transfer is a hands-on approach, it might not address the root cause of the incorrect technique. Demonstrating the proper technique ensures that the AP understands the correct method for future transfers.
b. This option directly addresses the observed issue by providing immediate education and correction to the AP, helping to prevent future errors.
c. Instructing the AP to request assistance when unsure about a task is a good general practice, but in this specific scenario, addressing the incorrect technique is more pressing.
d. Referring the AP to the facility procedure manual might provide guidance, but it doesn't offer immediate correction or education on the observed error.

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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

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Correct Answer is B

Explanation

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