An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

Note date and time of the behavior.

Evaluate the UAP for signs of improvement

Discuss the issue privately with the UAP.

Plan for scheduled break times

Answer and Explanation

The Correct Answer is C,A,D,B

C. Discussing the issue privately with the UAP is the first step as it directly addresses the behavior, provides an opportunity for immediate feedback, and allows the UAP to explain their actions.

A. Noting the date and time of the behavior is important for documentation and future reference but follows the initial discussion to ensure accurate recording of events.

D. Planning for scheduled break times may prevent future occurrences by providing clear expectations and structure for the UAP's work schedule.

B. Evaluating the UAP for signs of improvement would be the last step after the above interventions have been implemented to assess their effectiveness and the UAP's adherence to the expected behavior.

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Correct Answer is ["B","C","D"]

Explanation

A. Encouraging the nurse to flush the tube with more water is not mentioned as a necessary action based on the information provided. Flushing with water is typically done to ensure the tube
remains patent and to prevent medication interactions within the tube, but the scenario does not indicate that the nurse failed to do this or that there was an issue with tube patency.

B. Instructing the nurse to administer each medication separately is correct. This is important to prevent drug interactions within the tube and to ensure accurate dosing. Administering
medications separately allows for proper absorption and can prevent complications such as clogging of the tube.

C. Adding the liquid volumes when documenting fluid intake is correct. It is essential to account for all sources of fluid intake to maintain accurate fluid balance records. Medications
administered through a gastrostomy tube contribute to the patient's overall fluid intake and must be included in the documentation.

D. Confirming that the nurse determined the amount of gastric residual is correct. This is a critical step to ensure that the patient is tolerating the feedings and to prevent complications such as
aspiration. Gastric residual volume can indicate if the patient's digestive system is processing the feeding appropriately.

E. Advising the nurse to use the plunger when giving medications is not necessary in this context. The use of a plunger can be appropriate in some situations, but the scenario does not provide enough information to suggest that the nurse had difficulty administering the medications that would require the use of a plunger. Additionally, using a plunger can increase the risk of tube
damage or patient discomfort.

A. Think about reasons the episodes occur. B. Center attention on positive upbeat music. C. Practice using muscle relaxation techniques. D. Find outlets for more social interaction.

Correct Answer is C

Explanation

A. Thinking about the reasons behind the anxiety episodes can be helpful for long-term management, but it may not provide immediate relief during acute episodes of anxiety.

B. While music can be a form of relaxation for some individuals, it may not be as universally effective as muscle relaxation techniques for managing anxiety.

C. Muscle relaxation techniques, such as deep breathing and progressive muscle relaxation, are evidence-based strategies for reducing anxiety levels. They promote relaxation and decrease muscle tension, providing immediate relief during episodes of anxiety.

D. Social interaction can be beneficial for overall well-being, but it may not directly address the symptoms of anxiety in the moment.

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Body System	Assessment Finding
Cardiovascular	BP 145/89 mmHg Heart Rate 101 bpm Capillary refill 4 seconds
Neurologic	Awake and alert Anxious and Restless
Respiratory	Oxygen saturation 90% Respiratory rate 28bpm Productive cough

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The charge nurse observes a new nurse demonstrate the administration of two different liquid medications through a gastrostomy tube used for continuous feedings, as seen in the video. Which action(s) should the charge nurse take? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching?

Correct Answer is C

Explanation

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