A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after lunch. Which of the following actions should the nurse take?

Inform the state medical board for an immediate investigation.

Counsel the provider to determine the cause of the substance abuse.

Notify the nursing supervisor of the concerns.

Encourage clients to change to a different provider.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Inform the state medical board for an immediate investigation is not the initial step; concerns should first be reported to appropriate facility personnel.

B. Counsel the provider to determine the cause of the substance abuse is not the nurse’s role; this is a serious issue that requires reporting rather than counseling.

C. Notify the nursing supervisor of the concerns is the appropriate initial step to address the issue according to facility protocol.

D. Encourage clients to change to a different provider is not within the nurse’s scope of practice for handling the provider's behavior and does not address the root issue.

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Correct Answer is D

Explanation

Rationale:

A. Assigning an RN to perform a central line dressing change is appropriate as it requires specialized skills and knowledge.

B. Assigning an AP to perform glucometer monitoring is within their scope of practice and is a suitable task.

C. Assigning two APs to ambulate clients is reasonable if the workload requires it.

D. Assigning a new graduate nurse to perform a wet-to-dry dressing change may be inappropriate if it requires more experience and skill than the new graduate has.

A. Reassuring the partner of a client who sustained a closed head injury B. Reinforcing a client's dressing for the surgical site of an above-the-knee amputation C. Taking a telephone prescription about a client who is to be transferred from PACU D. Assessing a client who experiences unilateral calf pain when ambulating

Correct Answer is D

Explanation

Rationale:

A. Reassuring the partner is important for emotional support but does not directly impact the immediate safety of clients.

B. Reinforcing a dressing is important for wound care but does not address urgent concerns.

C. Taking a telephone prescription is necessary but not as immediate as addressing a potential complication.

D. Assessing a client with unilateral calf pain is the priority as it may indicate a serious condition such as deep vein thrombosis (DVT), which requires immediate evaluation and intervention.

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A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after lunch. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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