An assistive personnel (AP) comes to work with a new set of artificial nails. The nurse takes the AP to a private location to discuss the issue. Which of the following statements by the nurse is appropriate?
"I want you to review the facility's policy on personal attire before you begin the shift."
"There is a higher risk of infection for our clients associated with artificial nails."
"Why would you wear artificial nails to work when you know it's against the rules?"
"You should know that artificial nails have a very unprofessional appearance."
The Correct Answer is B
Rationale:
A. "I want you to review the facility's policy on personal attire before you begin the shift." does not address the specific concern regarding infection risk related to artificial nails.
B. "There is a higher risk of infection for our clients associated with artificial nails." provides a clear and factual explanation of why artificial nails are not appropriate, focusing on client safety rather than personal appearance or policy.
C. "Why would you wear artificial nails to work when you know it's against the rules?" is confrontational and does not address the issue in a constructive manner.
D. "You should know that artificial nails have a very unprofessional appearance." focuses on appearance rather than the potential risk to clients' health.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Rationale:
A. A child who is experiencing sickle cell crisis may require isolation to prevent infection and avoid complications related to sickle cell disease.
B. A child who has a head injury may require specific monitoring and precautions that are not suitable for a postoperative appendectomy patient.
C. A child who has a new diagnosis of type 1 diabetes mellitus generally has a stable condition that can be managed with routine care and would be an appropriate roommate for a postoperative appendectomy patient.
D. A child who has streptococcal pharyngitis could pose an infection risk to the postoperative appendectomy patient and is better kept separate to prevent the spread of infection.
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