A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?

Discuss the LPN's behavior with other nurses on the unit.

Review the LPN's personnel file.

Talk with the clients who have reported the LPN's lack of care.

Reassign some of the LPN's client care to assistive personnel.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Discussing the LPN's behavior with other nurses could potentially lead to gossip and does not address the core issue.

B. The charge nurse does not have authority to review personnel files; this is handled by management or HR.

C. The most appropriate first step is to investigate the client concerns directly. This provides objective information to determine if further action (coaching, reassignment, reporting to management) is necessary.

D. Reassigning client care to assistive personnel does not address the root cause of the problem and may not be an appropriate or effective solution without further investigation.

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Correct Answer is B

Explanation

Rationale:

A. Requesting a referral is important but not immediately critical compared to other needs.

B. Asking about a PCA pump with morphine indicates a potential issue with pain management or medication delivery that needs immediate attention.

C. Assisting with a bath is important for comfort and hygiene but is less urgent compared to immediate pain management.

D. Questions about a new prescription should be addressed but are generally less urgent than issues related to pain management.

A. The nurse coats the indwelling urinary catheter with lubricant. B. The nurse applies the sterile drape prior to inserting the urinary catheter. C. The nurse provides perineal care prior to inserting the urinary catheter. D. The nurse separates the client's labia with her dominant hand.

Correct Answer is D

Explanation

Rationale:

A. The nurse coats the indwelling urinary catheter with lubricant is correct and necessary for the procedure to reduce discomfort and facilitate insertion.

B. The nurse applies the sterile drape prior to inserting the urinary catheter is a proper step to maintain a sterile field during the procedure.

C. The nurse provides perineal care prior to inserting the urinary catheter is appropriate as it ensures cleanliness before catheter insertion.

D. The nurse separates the client's labia with her dominant hand should not be done; the non-dominant hand should be used to hold the labia apart to maintain sterility.

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A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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