A nurse manager observes a licensed practical nurse who has a strong odor of alcohol on their breath. Which of the following actions should the nurse manager take?
Document an objective description of the situation
Schedule a formal meeting with the LPN within 48 hr
Interview clients about the nurse’s actions
Check the unit narcotic records for discrepancies
The Correct Answer is A
a. Document an objective description of the situation:
It is important to start by documenting the observed behavior objectively. This documentation can serve as a factual record of the incident.
b. Schedule a formal meeting with the LPN within 48 hours:
While addressing the issue promptly is important, scheduling a formal meeting should come after documenting the situation. The initial step is to gather information and document observations.
c. Interview clients about the nurse’s actions:
Interviewing clients may be necessary later in the investigation process, but the immediate action should be to document the observed behavior and then proceed with a more formal investigation if needed.
d. Check the unit narcotic records for discrepancies:
The issue at hand appears to be related to alcohol use rather than narcotics. While discrepancies in narcotic records might be a concern, it may not be the most relevant action based on the situation described.
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Related Questions
Correct Answer is A
Explanation
a. Prepare to administer antibiotics to the client.
This is the correct action. Cutaneous anthrax is typically treated with antibiotics such as ciprofloxacin, doxycycline, or amoxicillin. Administering antibiotics promptly is essential to prevent the progression of anthrax infection.
b. Wear an N95 respirator mask while caring for the client.
While respiratory protection is important in certain situations, such as when caring for clients with respiratory infections, cutaneous anthrax is not transmitted through respiratory droplets. Therefore, wearing an N95 respirator mask is not necessary when caring for a client with cutaneous anthrax.
c. Plan to administer an antiviral medication to the client.
Anthrax is caused by a bacterium, not a virus, so antiviral medications would not be effective in treating anthrax infection. Antibiotics are the mainstay of treatment for anthrax.
d. Place a surgical mask on the client during transfer to the unit.
Cutaneous anthrax does not spread from person to person through respiratory droplets, so placing a surgical mask on the client during transfer is not necessary for preventing transmission of the disease.
Correct Answer is C
Explanation
a. Educate the client about the risks of refusing the procedure:
This option suggests providing information about the potential consequences of not undergoing the gastroscopy. While educating the client about risks is essential, the immediate concern is the client's lack of understanding about the procedure itself.
b. Complete the incident report:
Filling out an incident report is typically reserved for situations where there has been an actual incident, such as a medical error or adverse event. In this case, the client's lack of understanding does not constitute an incident but rather a need for clarification.
c. Inform the provider that the client requires clarification about the procedure:
This is the correct action. It involves escalating the issue to the provider responsible for performing the gastroscopy. The provider can then address the client's concerns, answer questions, and provide additional information to ensure informed consent.
d. Answer the client’s questions concerning the procedure:
While answering the client's questions is important, it's not solely the nurse's responsibility to ensure the client understands the procedure. The provider, who will perform the gastroscopy, should be informed of the client's confusion so they can address it effectively.
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