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A charge nurse on a long-term care unit is working with an assistive personnel who states, "I am tired of all the changes on this unit. If things don't improve soon, I'm requesting a transfer." Which of the following responses should the charge nurse make?

"There has been too much complaining about these changes."

"Please, try to wait a little longer. Things will get better soon."

"So, you are upset about all of the recent changes on the unit?"

"Why don't you just file a formal complaint with Human Resources?"

Answer and Explanation

The Correct Answer is C

Rationale:

A. This response dismisses the concerns of the assistant personnel and is not supportive.

B. This response minimizes the assistant personnel's concerns and does not acknowledge their feelings.

C. This response acknowledges the assistant personnel's concerns and opens the door for further discussion.

D. This response does not address the assistant personnel's concerns and suggests a formal complaint as the only solution. It is not supportive or collaborative.

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Correct Answer is D

Explanation

Rationale:

A. Wrist restraint orders typically require renewal every 24 hours, not every 36 hours.

B. Checking the client's range of motion every 6 hours is not specific to the use of wrist restraints.

C. Secure the restraints with a quick-release knot, not a square knot, to allow for quick removal in case of emergency.

D. Making sure two fingers fit under the restraints is important to ensure that they are not too tight and do not cause injury to the client.

A. Cleanse the client's outer ear with isopropyl alcohol to remove wax. B. Pull the client's pinna downward and back. C. Hold the ear dropper 1 cm (0.5 in) from the client's ear. D. Request the client remain supine for 10 min following administration.

Correct Answer is C

Explanation

Rationale:

A. Cleansing the client's outer ear with isopropyl alcohol to remove wax is not recommended because it can cause irritation and dryness.

B. Pulling the client's pinna downward and back is an incorrect technique for instilling otic medication in an adult client. An adult ear should be pulled upwards and backwards.

C. Holding the ear dropper 1 cm (0.5 in) from the client's ear is accurate.

D. Requesting the client remain supine for 10 min following administration is not necessary and may not be practical, instead the client should lie on the contralateral side.

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A charge nurse on a long-term care unit is working with an assistive personnel who states, "I am tired of all the changes on this unit. If things don't improve soon, I'm requesting a transfer." Which of the following responses should the charge nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is confused and has a prescription for wrist restraints. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is preparing to instill an otic medication for an adult client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?

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A nurse is assigning a semiprivate room to a client who has herpes zoster. Which of the following roommates is appropriate?

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