A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

Instruct the AP to request assistance when unsure about a task.

Demonstrate the proper client transfer technique for the AP.

Help the AP assist the client with the transfer.

Refer the AP to the facility procedure manual.

Answer and Explanation

The Correct Answer is C

A. Instructing the AP to request assistance when unsure about a task is important for future situations, but it does not immediately address the current incorrect transfer, which could pose a risk to the client.
B. Demonstrating the proper client transfer technique for the AP directly addresses the immediate issue, ensuring the client is safely transferred and the AP learns the correct method through observation and practice.
C. Helping the AP assist the client with the transfer ensures the client's safety in the moment, but it does not provide the AP with the knowledge or skills needed to perform the task correctly in the future.
D. Referring the AP to the facility procedure manual is useful for long-term learning, but it does not provide the immediate guidance needed to correct the current unsafe transfer.

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Correct Answer is B

Explanation

A. Management of Type 1 diabetes with an insulin pump usually involves ongoing monitoring and adjustments but may not necessarily warrant an immediate interdisciplinary conference.
B. This client has a notable risk for pressure ulcers due to the albumin level, necessitating an interdisciplinary approach to prevent or manage these ulcers.
C. While monitoring heparin therapy is crucial, an aPTT of 34 seconds is within the therapeutic range and may not require an urgent interdisciplinary conference.
D. Orthostatic hypotension being managed with IV fluids may need ongoing assessment, but it may not warrant an immediate interdisciplinary conference.

A. Prepare to administer antibiotics to the client. B. Wear an N95 respirator mask while caring for the client. C. Plan to administer an antiviral medication to the client. D. Place a surgical mask on the client during transfer to the unit.

Correct Answer is A

Explanation

A. Cutaneous anthrax is typically treated with antibiotics such as ciprofloxacin, doxycycline, or penicillin, making preparation to administer antibiotics the appropriate action.
B. While respiratory precautions might be necessary in cases of inhalational anthrax, cutaneous anthrax does not typically require the use of an N95 respirator mask.
C. Antiviral medications are not the standard treatment for cutaneous anthrax; antibiotics are the primary treatment.
D. Placing a surgical mask on the client during transfer might not be necessary for cutaneous anthrax exposure, as the mode of transmission is not through respiratory droplets.

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A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

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