A staff nurse suspects that a newly licensed nurse is chemically impaired. Which of the following actions should the staff nurse take?
Examine unit narcotic records.
Arrange transportation home for the newly licensed nurse.
Confront the newly licensed nurse regarding her behavior.
Notify the charge nurse of the situation.
The Correct Answer is D
If a staff nurse suspects that a newly licensed nurse is chemically impaired, the staff nurse should notify the charge nurse of the situation. The charge nurse can then take appropriate action to address the situation and ensure patient safety.
Option A may be necessary at some point, but it should not be the first response.
Option B may also be necessary at some point, but it does not address the underlying issue.
Option C may not be appropriate as it may not be within the staff nurse's scope of practice to confront the newly licensed nurse regarding her behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should have the AP perform the task of feeding a school-age client who has burns on both upper extremities first. This task is a high priority because it addresses the client's immediate need for nutrition and hydration. The client's burns may make it difficult for them to feed themselves, so the assistance of the AP is necessary to ensure that the client receives adequate nourishment.
The other tasks are also important, but they are not the highest priority in this situation. Collecting a stool sample for ova and parasites from a toddler [b] and bathing an adolescent client who is disabled [c] are routine tasks that can be performed as time permits. Ambulating a preschooler who is postoperative to the playroom [d] is also important for promoting mobility and recovery, but it is not as urgent as addressing the immediate need for nutrition and hydration.
Correct Answer is B
Explanation
The nurse should include the statement "Delegation permits a designated individual to meet a goal on your behalf" in the teaching. This is because delegation allows the nurse to assign tasks to an AP who has the appropriate skills and knowledge to complete them, while still maintaining accountability for the outcome of the task.
Option A is incorrect because accountability for a delegated task remains with the delegator, not the AP.
Option C is incorrect because discharge teaching activities for clients cannot be delegated to an AP as they require nursing judgment and assessment.
Option D is incorrect because it is important for the nurse to follow up on delegated tasks even if the AP has completed them before to ensure that they have been completed correctly and that the client's needs have been met.
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