An occupational health nurse is attending to a new employee who had an accident at a worksite. Which of the following tasks should the nurse complete as part of the protocol for an employee injury?
Order a new medication.
Initiate safety and audit checks.
Perform a drug test.
Vet the injured worker.
The Correct Answer is C
Choice A: Order a New Medication
Ordering a new medication is not typically the first step in the protocol for an employee injury. The nurse needs to assess the injury and determine the appropriate course of action based on the severity and nature of the injury. Medication may be part of the treatment plan, but it is not the initial step in the injury protocol.
Choice B: Initiate Safety and Audit Checks
Initiating safety and audit checks is an important part of workplace safety management, but it is not the immediate response to an employee injury. These checks are usually conducted to prevent future incidents and ensure compliance with safety regulations. The immediate priority is to address the employee's injury and provide necessary medical care.
Choice C: Perform a Drug Test
This is the correct choice. Performing a drug test is often part of the protocol following a workplace injury, especially in industries where safety is a critical concern. The drug test helps determine if substance use may have contributed to the accident. It is a standard procedure to ensure workplace safety and compliance with regulations.
Choice D: Vet the Injured Worker
Vetting the injured worker is not a standard part of the protocol for handling an employee injury. The focus should be on providing immediate medical care and assessing the injury. Vetting typically refers to a thorough examination or background check, which is not relevant in the context of responding to an injury.
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Correct Answer is D
Explanation
Choice A Reason:
Assessing the client's wound is a task that requires clinical judgment and expertise, which falls under the scope of practice of a registered nurse (RN) or licensed practical nurse (LPN). Assistive personnel (AP) are not trained or authorized to perform assessments, as these require a higher level of clinical knowledge and decision-making.
Choice B Reason:
Notifying the case manager of the client's wishes for community resources involves communication and coordination of care, which are responsibilities typically handled by an RN or LPN. This task requires understanding the client's overall care plan and the ability to communicate effectively with other healthcare professionals.
Choice C Reason:
Reviewing the client's medications is a task that involves understanding the medications, their purposes, potential side effects, and interactions. This requires clinical knowledge and judgment, which are beyond the scope of practice for AP. Medication review is typically performed by an RN or LPN.
Choice D Reason:
Assisting the client with bathing and oral care is a task that falls within the scope of practice for AP. These activities are part of the basic care tasks that AP are trained to perform. They involve helping the client with daily living activities, which do not require clinical judgment or decision-making.
Correct Answer is C
Explanation
Choice A: "I Think That I Missed Two Math Tutoring Classes Last Week, But I Can Still Catch Up."
This statement indicates that the client is aware of their academic responsibilities and is optimistic about catching up. Missing a couple of classes is not uncommon, and the client's positive attitude towards catching up is a good sign. This statement does not indicate an immediate need for intervention regarding their mental health.
Choice B: "I Have Not Used Drugs in 6 Weeks."
This statement is positive and indicates progress in the client's efforts to stay away from substance use. It shows that the client is making strides towards healthier behaviors, which is a crucial aspect of their overall well-being. This statement does not require immediate intervention but should be acknowledged and supported.
Choice C: "I Don't Have Anyone I Can Talk to About My Problems."
This statement is concerning and indicates a lack of social support, which is critical for someone with a history of depression and suicidal ideation. Feeling isolated and having no one to talk to can exacerbate feelings of depression and increase the risk of suicidal thoughts. This statement requires immediate intervention to ensure the client receives the necessary support and resources to address their feelings of isolation.
Choice D: "I Have Been Participating in My Local YMCA After-School Dance Program Again."
This statement is positive and indicates that the client is engaging in social and physical activities, which can be beneficial for their mental health. Participation in such programs can provide a sense of community, improve mood, and reduce feelings of isolation. This statement does not require immediate intervention but should be encouraged and supported.
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