A charge nurse in a long-term care facility notices the smell of alcohol on a nurse's breath.
Which of the following actions should the nurse take first?

Call the supervisor to ask for another nurse.

Document objective findings about the situation.

Remove the nurse from the client care area.

Assign clients to the remaining staff.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Calling the supervisor to ask for another nurse is not the first action the charge nurse should take when noticing the smell of alcohol on a nurse's breath. While it's important to involve the supervisor, immediate action to ensure patient safety is required.

Choice B rationale:

Documenting objective findings about the situation is a valid step in the process, but it should not be the first action. The charge nurse's primary responsibility is to address the immediate safety concerns.

Choice C rationale:

Removing the nurse from the client care area is the first action the charge nurse should take when smelling alcohol on a nurse's breath. This action ensures patient safety and prevents potential harm caused by impaired nursing care.

Choice D rationale:

Assigning clients to the remaining staff is not the first action to take when there is suspicion of alcohol impairment in a nurse. Patient safety and addressing the situation involving the impaired nurse take precedence.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale: Writing a client's diagnosis on the message board in the client's room can expose sensitive information to anyone who enters the room, which compromises client confidentiality.

Choice B rationale: Discarding worksheets containing client information in a wastebasket is not secure and can lead to unauthorized access to confidential information.

Choice C rationale: Giving change-of-shift report to a nurse outside the client's room protects client confidentiality by ensuring that sensitive information is shared only with authorized personnel in a private setting.

Choice D rationale: While sharing relevant information with personnel directly involved in the client's care is generally acceptable, it must still be done in a manner that safeguards confidentiality.

A. "I should have my baby latch on to my nipple and areola during feeding.” B. "I should not wake my baby during the night to breastfeed.” C. "My baby should breastfeed 5 to 10 minutes on each breast.” D. "I should keep my baby on a strict feeding schedule.”

Correct Answer is A

Explanation

Choice A rationale:

"I should have my baby latch on to my nipple and areola during feeding." Rationale: This is the correct statement and indicates an understanding of breastfeeding. Proper latch involves the baby taking both the nipple and a portion of the areola into their mouth. This ensures effective milk transfer and prevents nipple pain and damage.

Choice B rationale:

"I should not wake my baby during the night to breastfeed." Rationale: While it is generally recommended to let a newborn sleep for longer stretches at night, it's essential to ensure the baby feeds frequently, especially in the early days. Waking the baby for feedings, at least every 2-3 hours, is important to establish a good milk supply and ensure the baby's nutritional needs are met.

Choice C rationale:

"My baby should breastfeed 5 to 10 minutes on each breast." Rationale: This statement is not entirely accurate. The duration of breastfeeding can vary from baby to baby. It's essential to allow the baby to feed as long as they want on the first breast, ensuring they get the hindmilk, which is rich in fat and essential for growth. The baby may switch to the other breast when they are ready.

Choice D rationale:

"I should keep my baby on a strict feeding schedule." Rationale: This statement is not correct. Breastfeeding is demand-driven, and it's important to feed the baby when they show hunger cues, which may not always align with a strict schedule. Feeding on demand helps ensure the baby receives enough nourishment and promotes milk supply.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A charge nurse in a long-term care facility notices the smell of alcohol on a nurse's breath.Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing client confidentiality with other staff members. The nurse should identify that which of the following actions is an example of protecting client confidentiality?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about breastfeeding with the mother of a full-term newborn who is 5 days old.Which of the following statements by the mother indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is preparing to provide morning hygiene care for a client who has Alzheimer's disease.The client becomes agitated and combative when the nurse approaches him.Which of the following actions should the nurse plan to take?

A nurse is providing care to a client who is immunocompromised.Which of the following should the nurse identify as a possible source of infection?

A nurse is collecting data from a client during a routine prenatal visit.The client is in their second trimester of pregnancy and reports feeling dizzy, has a racing heart, and becomes pale while lying on their back.Which of the following actions should the nurse take?

A nurse is implementing a bladder training program for a client who had a stroke.Which of the following interventions should the nurse take first?

A nurse is contributing to the plan of care for a client who is 2 days postoperative and reports pain in their calf.Which of the following actions should the nurse include?

A nurse is caring for a client who speaks a different language than the nurse.Which of the following actions should the nurse take?

A nurse is contributing to the plan of care for a client who has leukemia and is experiencing chronic fatigue.Which of the following interventions should the nurse plan to include?

A nurse is caring for a client who is cyanotic and has a respiratory rate of 8/min with shallow respirations.Which of the following is the priority action by the nurse?

A charge nurse in a long-term care facility notices the smell of alcohol on a nurse's breath.
Which of the following actions should the nurse take first?