A nurse asks the assistive personnel (AP) to take a specimen to the laboratory and the AP refuses. Which of the following actions should the nurse take?

Complete an incident report.

Take the specimen to the laboratory.

Report the AP to the charge nurse.

Ask the AP about her concerns with the assignment.

Answer and Explanation

The Correct Answer is D

A.   Completing an incident report may be necessary if the refusal could potentially impact patient care or if there are policies or procedures in place that require documenting such incidents. It helps to document the details of the refusal and any subsequent actions taken.
B.   If the AP refuses to take the specimen, the nurse may need to take responsibility for ensuring the specimen is delivered to the laboratory promptly. This ensures that patient care activities are not delayed and that necessary diagnostic tests are performed in a timely manner.
C.   Reporting the refusal to the charge nurse or supervisor is appropriate, especially if there are concerns about the AP's behavior or if it is part of the facility's policy to escalate such incidents. The charge nurse can then address the situation and determine the appropriate course of action.

D.   Communicating with the AP to understand their concerns is essential. It allows the nurse to clarify any misunderstandings, address any issues or barriers the AP may have, and potentially resolve the situation collaboratively. It's important to listen to the AP's perspective and provide clarification or reassurance if needed.

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Correct Answer is B

Explanation

A. Canola oil is a healthier option compared to oils high in saturated fats, such as butter or lard. It does not significantly contribute to dietary cholesterol intake. Therefore, this statement does not indicate a need for follow-up teaching on a low-cholesterol diet.
B. Eggs are high in dietary cholesterol, and consuming two eggs daily can significantly increase cholesterol intake. For someone with elevated cholesterol levels or a history of atherosclerosis, this dietary habit may contribute to further elevation of cholesterol levels and potentially worsen cardiovascular health. Hence, this statement indicates the need for follow-up teaching on reducing dietary cholesterol intake.
C. Lemon juice is a low-calorie and low-cholesterol flavoring option. It does not significantly impact cholesterol intake. Therefore, this statement does not indicate a need for follow-up teaching on a low- cholesterol diet.
D. Omega-3 fatty acids are beneficial for heart health and do not contribute to dietary cholesterol intake. In fact, they may help reduce triglyceride levels and inflammation. Therefore, this statement does not indicate a need for follow-up teaching on a low-cholesterol diet.

A. pH 7.45 B. HCO3- 30 mEq/L C. Potassium 3.3 mEq/L D. PaCO2 50 mm Hg

Correct Answer is D

Explanation

A. A pH of 7.45 indicates alkalosis, not acidosis. In respiratory acidosis, the pH would be lower than normal (below 7.35) due to the accumulation of carbon dioxide.
B. A bicarbonate (HCO3-) level of 30 mEq/L is within the normal range (typically 22-26 mEq/L). Bicarbonate levels may be normal or slightly elevated in respiratory acidosis as a compensatory mechanism to buffer the excess acid.
C. Potassium levels can vary in respiratory acidosis but are not typically specified by a specific value. The level of potassium is more directly related to metabolic acid-base disturbances rather than respiratory acidosis.
D. An elevated PaCO2 level above 45 mm Hg indicates respiratory acidosis. In this scenario, a PaCO2 of 50 mm Hg suggests that the client is retaining carbon dioxide, leading to an acidotic state (lower pH).

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A nurse asks the assistive personnel (AP) to take a specimen to the laboratory and the AP refuses. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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