A client with influenza needs help in transferring to the bedside commode. The nurse observes the unlicensed assistive personnel (UAP) donning gloves and a gown to assist the client. Which action should the nurse take?
Review the need for the UAP to wear a face mask while in close contact with the client.
Remind the UAP to apply a fitted respirator mask before entering the client’s room.
Assign the UAP to provide care for another client and assume full care of the client.
Instruct the UAP to notify the nurse of any changes in the client’s respiratory status.
The Correct Answer is B
Choice B reason: a fitted respirator mask is required for droplet precautions, which are indicated for clients with influenza. The nurse should remind the UAP to apply a fitted respirator mask before entering the client’s room and ensure that it is worn correctly.
Choice A reason: a face mask is not sufficient for droplet precautions, which are indicated for clients with influenza. A face mask can protect against large droplets, but not against small droplets that can remain in the air and be inhaled.
Choice C reason: assigning the UAP to provide care for another client and assuming full care of the client is not necessary or feasible. The UAP can assist the client with influenza as long as they follow the appropriate infection control measures, such as wearing a fitted respirator mask, gloves, and gown.
Choice D reason: instructing the UAP to notify the nurse of any changes in the client’s respiratory status is not as important as reminding them to apply a fitted respirator mask before entering the client’s room. The UAP should report any changes in the client’s condition, but this does not prevent exposure to influenza.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: applying the client's positive airway pressure device can help prevent or reduce episodes of apnea and hypopnea during sleep by keeping the airway open and delivering oxygen. The nurse should ensure that the device fits properly and that the client knows how to use it.
Choice B reason: elevating the head of the bed to a 45 degree angle is not as effective as using a positive airway pressure device for a client with OSA. Elevating the head of the bed may help reduce snoring and improve breathing, but it may not prevent airway collapse or oxygen desaturation.
Choice C reason: removing dentures or other oral appliances is not as important as applying a positive airway pressure device for a client with OSA. Removing dentures or other oral appliances may help prevent choking or aspiration, but it may not prevent airway collapse or oxygen desaturation.
Choice D reason: lifting and locking the side rails in place is not as important as applying a positive airway pressure device for a client with OSA. Lifting and locking the side rails in place may help prevent falls or injuries, but it may not prevent airway collapse or oxygen desaturation.
Correct Answer is B,A,C,D
Explanation
The correct order is:
- Note date and time of the behavior.
- Discuss the issue privately with the UAP.
- Plan for scheduled break times.
- Evaluate the UAP for signs of improvement.
Here are the reasons for this order:
- Note date and time of the behavior. This should be done first, as it can provide objective evidence of the UAP's behavior and its impact on patient care and staff workload. The unit manager should document any incidents or complaints related to the UAP's behavior in a factual manner.
- Discuss the issue privately with the UAP. This should be done second, as it can provide an opportunity for feedback and clarification. The unit manager should use a respectful and professional tone, and explain how the UAP's behavior affects patient safety and staff morale. The unit manager should also listen to any concerns or challenges that the UAP may have, and offer support or guidance as needed.
- Plan for scheduled break times. This should be done third, as it can provide a solution or prevention strategy for future occurrences. The unit manager should work with the UAP and other staff members to ensure that there are adequate breaks and coverage for patient care. The unit manager should also review any policies or procedures related to break times and staff attendance.
- Evaluate the UAP for signs of improvement. This should be done last, as it can provide a measure of effectiveness and accountability. The unit manager should monitor and document any changes in the UAP's behavior, performance, or attitude. The unit manager should also provide positive reinforcement or corrective action as appropriate.
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