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.
Help the AP assist the client with the transfer.
Refer the AP to the facility procedure manual.
Demonstrate the proper client transfer technique for the AP.
The Correct Answer is B
A. Instruct the AP to request assistance when unsure about a task: While this is an important instruction, the immediate priority is ensuring the safety of the client during the transfer.
B. Help the AP assist the client with the transfer: This is the correct answer. The nurse should intervene immediately to ensure the safety of the client during the transfer. Providing assistance to the AP in safely transferring the client is the most appropriate action to take first.
C. Refer the AP to the facility procedure manual: While facility procedures are important, referring to the manual may not address the immediate need to correct the incorrect transfer and ensure client safety.
D. Demonstrate the proper client transfer technique for the AP: While education and demonstration of correct techniques are important, the immediate priority is to intervene and ensure the safety of the client during the transfer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Withdrawal of medication from an ampule should be done using a filter needle or a needle with a filter straw to prevent glass particles from being drawn into the syringe. Using a subcutaneous needle is not appropriate for this purpose and may lead to contamination or injury.
B. Breaking the top of the ampule using an antiseptic wipe is an acceptable method to access the medication within the ampule.
C. Performing 3 checks of the medication before administration is a standard safety practice to ensure the correct medication, dose, and route.
D. Disposing of the ampule by placing it in a sharps container is the correct method for safe disposal of glass ampules after use.
Correct Answer is A
Explanation
A. Documenting the client's refusal in their chart is crucial for maintaining accurate records and ensuring that the refusal is properly documented for legal and medical purposes.
B. While checking the client's blood alcohol level may be relevant to the situation, it should not be done without the client's consent or a valid medical reason.
C. Assessing the client for urinary retention is not indicated in this scenario, as the client's refusal to provide a urine sample does not necessarily indicate urinary retention.
D. Informing the client that a catheter will be inserted without their consent is not appropriate and violates the client's autonomy.
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