A manager nurse for a medical-surgical unit is preparing the agenda for a unit meeting.

Exhibits

Which items should the nurse manager include in unit meeting? For each identified item, indicate if the nurse manager should include during unit meeting or if the content should be addressed with a specific individual team member.

Review the incident of disruptive behavior and discuss the principles of civility and respect.

Review mandatory nursing skills and competencies for nursing.

Meet to talk about mislabeling of laboratory specimen and discuss the policy and procedure for how to do it correctly.

Review near miss fall and fall precautions, bed position, rounding, and appropriate use of bed or chair alarms.

Review central line infections rates and causes. Include review of proper care of central lines.

Answer and Explanation

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Review the incident of disruptive behavior and discuss the principles of civility and respect.

Unit meeting

Rationale: The incident of disruptive behavior between nurses should be addressed in a unit meeting to foster a culture of respect and teamwork. Discussing this issue with the entire team will help reinforce appropriate behavior and conflict resolution.

Review mandatory nursing skills and competencies for nursing.

Unit meeting

Rationale: Mandatory nursing skills competencies are essential for ensuring that all staff meet the required standards. This should be reviewed during the unit meeting to ensure that all nurses are up to date and compliant with required competencies.

Meet to talk about mislabeling of laboratory specimens and discuss the policy and procedure for how to do it correctly.

Individual Team Member

Rationale: The issue of mislabeling specimens should be addressed directly with the specific individual (TJ, the AP) involved. It’s important to provide corrective feedback and retraining for the individual responsible for the issue.

Review near miss fall and fall precautions, bed position, rounding, and appropriate use of bed or chair alarms.

Unit meeting

Rationale: The near-miss fall incident involves issues that are relevant to the entire unit, such as bed position, use of bed alarms, and rounding practices. Discussing this in a unit meeting can help prevent future incidents by educating all staff on proper procedures.

Review central line infections rates and causes. Include review of proper care of central lines.

Unit meeting

Rationale: Reviewing central line infection rates and proper care is important for the entire team to ensure adherence to best practices and reduce infection rates. This is best addressed in a unit meeting to promote awareness and compliance among all staff.

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Correct Answer is D

Explanation

Rationale:

A. "Whether or not I am a good lover is irrelevant." does not directly address the inappropriate nature of the comment.

B. "Let's talk about something else." avoids the issue without addressing the inappropriateness of the behavior.

C. "You need to lower your voice. Others can hear you." addresses the volume but not the content of the comment.

D. "Speaking to me like that makes me uncomfortable." directly addresses the inappropriate behavior and communicates the impact on the nurse, which is the most appropriate response.

A. Reassuring the partner of a client who sustained a closed head injury B. Reinforcing a client's dressing for the surgical site of an above-the-knee amputation C. Taking a telephone prescription about a client who is to be transferred from PACU D. Assessing a client who experiences unilateral calf pain when ambulating

Correct Answer is D

Explanation

Rationale:

A. Reassuring the partner is important for emotional support but does not directly impact the immediate safety of clients.

B. Reinforcing a dressing is important for wound care but does not address urgent concerns.

C. Taking a telephone prescription is necessary but not as immediate as addressing a potential complication.

D. Assessing a client with unilateral calf pain is the priority as it may indicate a serious condition such as deep vein thrombosis (DVT), which requires immediate evaluation and intervention.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A coworker puts an arm around a nurse and says, "I bet you are a great lover." Which of the following is an appropriate response by the nurse?

Correct Answer is D

Explanation

A nurse on a surgical unit is caring for a group of clients. Which of the following is the priority action of the nurse?

Correct Answer is D

Explanation

A nurse is caring for a client who has a history of dementia. The client is alert and oriented to person, place, and time, and has advance directives. The client is scheduled for a procedure that requires informed consent. Which of the following persons should sign the informed consent?

A nurse in a provider's office is collecting a health history from a client who has a new prescription for glyburide to treat type 2 diabetes mellitus. Which of the following statements by the client indicates a contraindication for taking this medication?

A nurse manager is preparing an inservice program for the nurses on the unit about the use of a new infusion pump. Which of the following teaching strategies is the most effective way to ensure that the staff can use the device correctly?

A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

A nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasty. Which of the following responses by the nurse demonstrates assertiveness?

A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take?

A nurse is triaging clients following a mass casualty event. Which of the following clients should the nurse assess first?

A nurse manager is preparing an inservice program about managing conflict for the nurses on the unit. The nurse manager should identify which of the following examples as interpersonal conflict?