A charge nurse is providing an inservice for staff nurses on the use of new IV pumps.
Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?

Verbally question the staff about the new equipment.

Require each nurse to take a written examination about the new equipment. C. Allow time during the workday when each nurse can demonstrate proficiency.

Ask each nurse to read the procedure and sign a form acknowledging competency.

Answer and Explanation

The Correct Answer is C

Allowing time during the workday when each nurse can demonstrate proficiency is the best way to evaluate staff competency with the new equipment. This method ensures that the nurses can perform the skills correctly and safely under the charge nurse’s supervision and feedback.

Choice A is wrong because verbally questioning the staff about the new equipment does not assess their practical skills or ability to use the equipment correctly.

Choice B is wrong because requiring each nurse to take a written examination about the new equipment does not assess their hands-on skills or ability to troubleshoot problems with the equipment.

Choice D is wrong because asking each nurse to read the procedure and sign a form acknowledging competency does not verify that the nurses have understood the procedure or can apply it in practice.

It also relies on the nurses’ honesty and self-assessment, which may not be accurate or reliable.

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Correct Answer is D

Explanation

This aligns with the professional code of ethics for nurses, which states that nurses should respect the dignity, worth and rights of all human beings, regardless of the nature of their health problems or their social or legal status. The nurse should not let personal feelings or biases interfere with the quality of care or the ethical obligations of the profession.

Choice A is wrong because the nurse refuses to care of the client. This violates the principle of beneficence, which means doing good and preventing harm to others.

The nurse has a duty to provide care to all patients who need it, regardless of their personal opinions or feelings.

Choice B is wrong because the nurse delegates all care of the client to an assistant. This violates the principle of accountability, which means being answerable for one’s actions and decisions. The nurse cannot delegate tasks that require nursing judgment or assessment to an unlicensed person.

The nurse is responsible for ensuring that the patient receives safe and competent care.

Choice C is wrong because the nurse provides minimal care to keep the client alive. This violates the principle of non-maleficence, which means avoiding harm or injury to others.

The nurse should not provide substandard care or neglect the patient’s needs or preferences.

The nurse should strive to promote the health and well-being of the patient.

A. 3+ palpable pedal pulses below the affected injury site. B. Full range of motion at the site of injury. C. Sanguineous drainage at the site of injury. D. Localized warmth at the site of injury.

Correct Answer is D

Explanation

Localized warmth at the site of injury is a sign of localized inflammation of the tissues, which is a response to tissue damage caused by an ankle injury. Localized inflammation involves changes in blood flow, vessel permeability, and leukocyte migration to the site of injury. Heat is one of the five classic signs of acute local inflammation, along with redness, swelling, pain, and loss of function.

Choice A is wrong because 3+ palpable pedal pulses below the affected injury site indicate normal blood flow to the foot and do not reflect inflammation.

Choice B is wrong because full range of motion at the site of injury is unlikely in the presence of inflammation, which usually causes pain and loss of function.

Choice C is wrong because sanguineous drainage at the site of injury is a sign of bleeding, not inflammation.

Inflammation may cause fluid leakage from blood vessels, but this fluid is usually clear or yellowish, not bloody.

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A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?

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A charge nurse is providing an inservice for staff nurses on the use of new IV pumps.
Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?