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 D

Explanation

A. A generalized rash over the trunk might indicate various conditions but might not be an immediate concern in the context of meningitis.
B. An increased temperature is an expected finding in meningitis and should be
monitored but might not necessitate immediate reporting unless exceptionally high or coupled with other concerning symptoms.
C. Photophobia, or sensitivity to light, is a common symptom in meningitis but alone might not necessitate immediate reporting if the client's other symptoms are stable.
D. Decreased level of consciousness can indicate neurological deterioration and requires immediate attention as it could signal worsening of the client's condition.

A. Review facility policies for taking scheduled breaks. B. Discuss time management strategies with the nurses. C. Provide coverage for the nurses' breaks. D. Determine the reasons the nurses are not taking scheduled breaks.

Correct Answer is D

Explanation

A. Reviewing facility policies is important but might not immediately address the reasons why the nurses are not taking breaks.
B. Discussing time management strategies might be helpful, but it's crucial to first understand the reasons behind the nurses' behavior.
C. Providing coverage for the nurses' breaks might be a short-term solution but doesn't address the underlying reasons for not taking breaks.
D. Determining the reasons the nurses are not taking scheduled breaks is the initial step to understand if it's due to workload, personal choice, or other factors. This information can guide appropriate interventions or support for the nurses.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is D

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Correct Answer is D

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