A nurse in a long-term care facility observes an assistive personnel who is incorrectly monitoring a client's blood glucose level.
The nurse should report this observation to which of the following personnel first?
Nurse manager.
Charge nurse.
Risk manager.
Nurse supervisor.
The Correct Answer is B
The correct answer is choice b. Charge nurse.
Choice b rationale: The charge nurse is the appropriate personnel to report the incorrect blood glucose monitoring by the assistive personnel. As the nurse in charge of the unit, the charge nurse has the authority and responsibility to address issues related to patient care and ensure that nursing staff, including assistive personnel, are providing care according to facility policies and procedures
Choice a rationale: While the nurse manager is responsible for overseeing the nursing staff and ensuring quality patient care, it is more appropriate to report the incident to the charge nurse first, as they are directly responsible for the unit and can immediately address the issue
Choice c rationale: The risk manager is responsible for identifying, assessing, and mitigating risks within the healthcare facility. While the incorrect blood glucose monitoring could be considered a risk, it is not the primary role of the risk manager to address issues related to patient care. The charge nurse is better positioned to address the immediate concern and ensure proper training or corrective action for the assistive personnel.
Choice d rationale: The nurse supervisor is responsible for overseeing and managing nursing staff, similar to the nurse manager. However, the charge nurse is the more appropriate personnel to report the incident to, as they are directly responsible for the unit and can immediately address the issue
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The nurse should inform the client that they will need periodic TB skin tests to monitor for any reactivation of the infection. This is important for assessing the client's response to treatment and ensuring early detection of any recurrence.
Choice B rationale:
Medications for tuberculosis can cause various side effects, but turning urine a blue-green color is not a common side effect associated with these medications. Providing accurate information about potential side effects is important for informed decision-making, but this statement is not accurate.
Choice C rationale:
The correct response is to inform the client that they are no longer contagious when they have negative sputum cultures. This is an important point to emphasize as it ensures that the client understands when it is safe to be around others without the risk of transmitting the infection.
Choice D rationale:
Telling the client that they will take medication for the rest of their life is incorrect and not appropriate for active pulmonary tuberculosis. Tuberculosis treatment typically involves a combination of medications taken for a specified duration, usually several months, until the infection is effectively treated.
Correct Answer is A
Explanation
The correct answer is: a. Remove bibs when the infant is going to sleep.
Choice A reason: Removing bibs when an infant is going to sleep is a critical safety measure to prevent suffocation and strangulation risks. Infants should have a sleep environment free of any loose objects that could cover their face and interfere with breathing. The American Academy of Pediatrics recommends keeping the crib clear of items like bibs, pillows, blankets, and toys to reduce the risk of Sudden Infant Death Syndrome (SIDS) and other sleep-related infant deaths.
Choice B reason: Using a highchair for feedings is not recommended for a 3-month-old infant because they typically cannot sit up unsupported at this age. Highchairs are generally used when an infant can sit up well without support and has good head control, usually around 6 months old. Until then, infants should be held or placed in an appropriate reclined feeding position.
Choice C reason: A soft crib mattress is not advisable for infants. A firm mattress is essential to provide a safe sleep surface. Soft mattresses and other soft surfaces increase the risk of SIDS and suffocation because they can create pockets that may cause an infant’s face to sink in and restrict breathing.
Choice D reason: Placing pillows in the crib, even one small pillow, is unsafe for infants. Pillows can pose a suffocation hazard and increase the risk of SIDS. The crib should be kept bare, with only a firm mattress and a fitted sheet, to ensure a safe sleep environment for the infant.
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