The medication aide at a long-term care facility is sick and requests to go home before all medications are administered. Which action should the practical nurse (PN) in charge of the unit take?
Ask each unlicensed assistive personnel (UAP) to give medications to their assigned residents.
Document why all the medications were not given to each of the residents.
Assign the remainder of medication administration to another PN who is performing treatments.
Deny the medication aide's request to leave before all medications are given.
The Correct Answer is C
The correct answer is choice C. Assign the remainder of medication administration to another PN who is performing treatments.
Choice A rationale:
Asking unlicensed assistive personnel (UAP) to give medications to their assigned residents is not the best action to take in this situation. Medication administration requires a certain level of training and knowledge to ensure safe and accurate delivery. UAPs may not have the appropriate training and legal authorization to administer medications, which could lead to potential errors and harm to the residents.
Choice B rationale:
Documenting why all the medications were not given to each resident is not sufficient to address the issue at hand. While documentation is essential for record-keeping and communication, it does not resolve the problem of medication administration being left incomplete. The priority should be finding a qualified person to administer the remaining medications.
Choice C rationale:
This is the correct answer because assigning the remainder of medication administration to another PN who is performing treatments ensures that qualified and trained personnel are handling the medication administration. This PN is likely familiar with medication protocols and safety measures, reducing the risk of errors.
Choice D rationale:
Denying the medication aide's request to leave before all medications are given might not be practical if the aide is genuinely unwell or unable to continue working safely. The focus should be on ensuring that medication administration is completed by qualified staff rather than forcing the sick aide to stay.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This is the most important information for the PN to ask because it assesses the client's risk for self-harm and suicidal ideation. The client's statements indicate hopelessness, low self-esteem, and impaired functioning, which are potential warning signs of suicide. The PN should ask the client directly about any thoughts or plans of harming themselves and provide support and safety measures as needed.
A. Questioning about which rituals are most often used to reduce anxiety is not a priority and may reinforce the client's compulsive behavior.
B. Asking if the obsessions and compulsions interfere with sleep is not a priority and may not address the client's emotional distress.
D.Determining what makes the client think people are laughing is not a priority and may not be helpful for the client's perception of reality.
Correct Answer is D
Explanation
The correct answer is choice D. Electrolytes.
Choice A rationale:
White blood cell count (WBC) is primarily used to detect infections, inflammation, and immune system disorders.While an abnormal WBC count can indicate various health issues, it is not directly related to numbness and tingling in the extremities.
Choice B rationale:
Hematocrit measures the proportion of red blood cells in the blood. It is useful for diagnosing anemia and other blood disorders.However, hematocrit levels are not typically associated with symptoms of numbness and tingling.
Choice C rationale:
Albumin and protein levels are important for assessing nutritional status and liver function.Low levels can indicate malnutrition or liver disease, but they are not directly linked to the sensation of numbness and tingling in the extremities.
Choice D rationale:
Electrolytes, such as sodium, potassium, calcium, and magnesium, play a crucial role in nerve function and muscle contraction. Imbalances in electrolyte levels can lead to symptoms like numbness, tingling, and muscle cramps.Therefore, reviewing the client’s electrolyte levels is essential when they report these symptoms.
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