Choice A reason: Providing the UAP with the infection control policy is not the first action the charge nurse should take. The charge nurse should first assess the UAP's knowledge and understanding of HIV transmission and infection control measures.

Choice B reason: Offering to assist the UAP with the collection of the specimen is not the first action the charge nurse should take. The charge nurse should first address the UAP's fear and educate the UAP about HIV transmission and infection control measures.

Choice C reason: Determining the UAP's knowledge about HIV transmission is the first action the charge nurse should take. This will help the charge nurse identify any knowledge gaps or misconceptions the UAP may have and provide appropriate education and reassurance.

Choice D reason: Demonstrating the proper use of personal protective equipment is not the first action the charge nurse should take. The charge nurse should first assess the UAP's knowledge and understanding of HIV transmission and infection control measures.

Choice A reason: Assuming care of the client and assigning the PN to the care of a different client is not the best action the nurse should take. This may undermine the PN's confidence and competence and create resentment and conflict.

Choice B reason: Acknowledging that the PN has positioned the client safely and correctly is not the best action the nurse should take. This may reinforce the incorrect positioning and lead to complications during the lumbar puncture.

Choice C reason: Arranging for an unlicensed assistive personnel to assist the PN during the procedure is not the best action the nurse should take. This may not address the root cause of the incorrect positioning and may not improve the PN's skills and knowledge.

Choice D reason: Demonstrating to the PN how to position the client more effectively for the procedure is the best action the nurse should take. This will correct the error and provide the PN with feedback and guidance on how to perform the task correctly in the future.

Choice A reason: Listening for the presence of bowel sounds is not a task that the home health aide can perform. This is a nursing assessment that requires specialized skills and equipment.

Choice B reason: Administering a prescribed dose of a laxative is not a task that the home health aide can perform. This is a nursing intervention that requires medication administration knowledge and authority.

Choice C reason: Teaching the client about foods high in fiber is not a task that the home health aide can perform. This is a nursing intervention that requires education and evaluation skills.

Choice D reason: Assisting the client to drink warm prune juice is a task that the home health aide can perform. This is a simple and safe measure that can help relieve constipation by stimulating bowel movements.

Choice A reason: How many departments can use this equipment is not the most important question to consider when analyzing the cost-benefit for this piece of equipment. This question may be relevant for determining the utilization and availability of the equipment, but it does not directly address the cost or the benefit of the equipment.

Choice B reason: Can the equipment be updated each year is not the most important question to consider when analyzing the cost-benefit for this piece of equipment. This question may be relevant for determining the longevity and compatibility of the equipment, but it does not directly address the cost or the benefit of the equipment.

Choice C reason: Is the cost of equipment reasonable is the most important question to consider when analyzing the cost-benefit for this piece of equipment. This question directly addresses the cost of the equipment and compares it to the expected benefit of the equipment. A reasonable cost means that the equipment is worth the investment and will provide a positive return on value.

Choice D reason: Will the equipment require annual repair is not the most important question to consider when analyzing the cost-benefit for this piece of equipment. This question may be relevant for determining the maintenance and reliability of the equipment, but it does not directly address the cost or the benefit of the equipment.

Choice A reason: The client is grieving normally in response to her husband's death and hospitalization is not necessary is not the best information for the nurse to provide this family. This may be insensitive and dismissive of the family's concerns and the client's condition. The client may have signs of delirium or dementia that require further evaluation.

Choice B reason: Managed care providers have mandatory pre-certification requirements for hospitalization is the best information for the nurse to provide this family. This informs the family of the process and criteria that need to be met before the client can be admitted to the hospital under the managed healthcare plan. This may help the family understand the limitations and expectations of the plan.

Choice C reason: Healthcare costs are escalating because clients want to have diagnostic testing conducted in the hospital is not the best information for the nurse to provide this family. This may be inaccurate and irrelevant to the family's situation. The family may not care about the healthcare costs as much as the client's well-being.

Choice D reason: Managed healthcare plans do not pay for any in-hospital medical evaluations is not the best information for the nurse to provide this family. This may be false and misleading. Managed healthcare plans may cover some in-hospital medical evaluations depending on the plan and the client's condition.

Choice A reason: Offering to switch the nurse's shift assignments to afternoons or evenings is not the best approach for the nurse manager to use when addressing this staff member's tardiness. This may not address the underlying cause of the tardiness and may not be fair to other staff members who may prefer those shifts.

Choice B reason: Stressing the expectation that the nurse will arrive on time for all scheduled shifts is the best approach for the nurse manager to use when addressing this staff member's tardiness. This communicates the importance of punctuality and accountability and sets a clear standard for the nurse to follow.

Choice C reason: Cautioning the nurse that one more tardiness will result in probational employment is not the best approach for the nurse manager to use when addressing this staff member's tardiness. This may be too harsh and punitive for the first time the nurse manager addresses the issue and may not allow for any explanation or improvement from the nurse.

Choice D reason: Having the nurse sign a copy of the hospital employee attendance policy is not the best approach for the nurse manager to use when addressing this staff member's tardiness. This may be too passive and bureaucratic and may not convey the seriousness of the issue or the expectations of the nurse manager.

Choice A reason: Heparin in Normal Saline prescribed for deep vein thrombosis is not a safe infusion to administer without an IV infusion pump. Heparin is a high-alert medication that requires precise and consistent dosing and monitoring. An IV infusion pump can ensure accurate and steady delivery of heparin and prevent adverse effects such as bleeding or clotting.

Choice B reason: Regular Insulin in Normal Saline prescribed for ketoacidosis is not a safe infusion to administer without an IV infusion pump. Insulin is a high-alert medication that requires careful and frequent adjustment of the infusion rate based on the blood glucose level. An IV infusion pump can provide precise and flexible control of the insulin infusion and prevent complications such as hypoglycemia or hyperglycemia.

Choice C reason: Magnesium in Normal Saline prescribed for hypomagnesemia is not a safe infusion to administer without an IV infusion pump. Magnesium is a medication that can cause serious side effects such as cardiac arrhythmias, respiratory depression, or neuromuscular weakness if infused too rapidly or in excess. An IV infusion pump can regulate the infusion rate and volume of magnesium and prevent toxicity or overdose.

Choice D reason: Ceftriaxone in 5% Dextrose in Water prescribed for pneumonia is a safe infusion to administer without an IV infusion pump. Ceftriaxone is an antibiotic that can be given as a bolus or a slow infusion over 30 minutes. It does not require frequent or precise adjustment of the infusion rate or volume. It can be administered using a gravity drip method with a manual flow regulator and a drop factor.

Choice A reason: A business executive admitted with Guillain-Barre syndrome who has residual bilateral numbness in the lower extremities is not the most important client to schedule a multi-disciplinary team meeting for. This client may have a complex and chronic condition, but it is not an acute or urgent situation that requires immediate collaboration and coordination of care.

Choice B reason: A woman who is pregnant with twins and whose due date is one week away is not the most important client to schedule a multi-disciplinary team meeting for. This client may have a high-risk pregnancy, but it is not a complicated or emergent case that requires intensive and comprehensive care.

Choice C reason: An elderly client admitted through the emergency department with a broken hip whose blood glucose is 400 mg/dL (22 mmol/L) is the most important client to schedule a multi-disciplinary team meeting for. This client has a serious and potentially life-threatening condition that requires prompt and effective management of pain, infection, surgery, mobility, nutrition, and diabetes. A multi-disciplinary team meeting can facilitate the communication and collaboration among the healthcare professionals involved in the client's care and ensure the best possible outcomes.

Choice D reason: A 2-year-old who contracted Hepatitis A while at a local daycare center is not the most important client to schedule a multi-disciplinary team meeting for. This client may have a contagious and unpleasant infection, but it is not a severe or critical condition that requires extensive and holistic care.

Choice A reason: Obtaining the client's legal records for power of attorney is not the best action for the nurse to take. This may not be relevant or appropriate for the client's situation and may not address the client's wishes or needs.

Choice B reason: Asking the palliative care team to speak with the client is the best action for the nurse to take. This can help the client and the family understand the goals and options of palliative care, which focus on relieving symptoms and improving quality of life for clients with life-limiting illnesses.

Choice C reason: Giving analgesic medications as needed (PRN) is not the best action for the nurse to take. This may not be sufficient or effective for the client's pain and discomfort, and may not respect the client's preference to avoid machines or interventions.

Choice D reason: Discontinuing the intravenous infusion is not the best action for the nurse to take. This may not be in the best interest of the client's health and hydration, and may not be consistent with the client's wishes or needs.

Choice A reason: Calling for an assistant is the best action for the nurse to take. This can help the nurse maintain aseptic technique and ensure the safety of the client undergoing the lumbar puncture, while also allowing the nurse to respond to the code as soon as possible.

Choice B reason: Responding to the code is not the best action for the nurse to take. This may compromise the aseptic technique and the safety of the client undergoing the lumbar puncture, who may also experience complications or adverse reactions.

Choice C reason: Closing the room door is not the best action for the nurse to take. This may isolate the client undergoing the lumbar puncture and prevent the nurse from communicating or receiving assistance from other staff members.

Choice D reason: Finishing the procedure is not the best action for the nurse to take. This may delay the nurse's response to the code and jeopardize the survival of the client experiencing respiratory arrest, who needs immediate and effective resuscitation.