A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

Notify the unit manager about the incident.

Alert the infection control department.

Discuss the issue with the AP.

Reinforce facility protocols at the next staff meeting.

Answer and Explanation

The Correct Answer is C

A.   Notifying the unit manager should happen but discussing the issue with the AP directly is the initial step in addressing the problem.
B.   Alerting the infection control department is important, but direct communication with the AP should come first to address the immediate concern.
C.   Speaking with the AP allows for immediate clarification and correction of the behavior, aiming to prevent further incidents.
D.   Reinforcing facility protocols at a staff meeting is beneficial, but immediate correction at the individual level is more crucial to prevent recurrence of the issue.

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Correct Answer is B

Explanation

A. Offering a sedative might not address the situation appropriately; the client's decision to leave needs to be managed through proper channels.
B. Informing the client about the discharge process and the requirement of a discharge prescription from the provider is appropriate and educates the client on the necessary steps.
C. Assigning a security officer might not be necessary unless there are safety concerns or imminent risks.
D. Having the client sign the Against Medical Advice (AMA) form might be necessary if the client insists on leaving against medical advice, but explaining the proper discharge process should be attempted first.

A. A client who has an open fracture of the femur B. A client who has periorbital ecchymosis C. A client who has a deep partial thickness burn on the lower extremities D. A client who has an asymmetrical thorax

Correct Answer is D

Explanation

Rationale for A: An open fracture of the femur is serious and requires prompt treatment, but it does not typically indicate an immediate life threat compared to other conditions.

Rationale for B: Periorbital ecchymosis can indicate facial trauma, but it is not necessarily life-threatening and would not be prioritized as emergent.

Rationale for C: A deep partial thickness burn on the lower extremities is significant and requires treatment, but unless the burn covers a large area or is complicated by other factors, it is not the most critical issue compared to respiratory or cardiovascular threats.

Rationale for D: An asymmetrical thorax may suggest a possible pneumothorax or other significant respiratory issue, which could lead to respiratory distress or failure. This client should be tagged as emergent due to the potential for rapid deterioration.

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A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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