A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

Notify the unit manager about the incident.

Alert the infection control department.

Discuss the issue with the AP.

Reinforce facility protocols at the next staff meeting.

Answer and Explanation

The Correct Answer is C

A.   Notifying the unit manager should happen but discussing the issue with the AP directly is the initial step in addressing the problem.
B.   Alerting the infection control department is important, but direct communication with the AP should come first to address the immediate concern.
C.   Speaking with the AP allows for immediate clarification and correction of the behavior, aiming to prevent further incidents.
D.   Reinforcing facility protocols at a staff meeting is beneficial, but immediate correction at the individual level is more crucial to prevent recurrence of the issue.

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Correct Answer is C

Explanation

A. Inadequate food supply is important but might not be the most immediate concern following coronary artery bypass grafting surgery.
B. Limited social support is significant for the client's recovery but might not directly impact the immediate post-operative care.
C. Low pain tolerance after a major surgery like coronary artery bypass grafting can impede recovery, affect mobility, and hinder the client's ability to participate in rehabilitation exercises or manage post-operative pain effectively. Addressing pain
tolerance is crucial for post-operative recovery.
D. Decreased self-esteem, while important for the client's overall well-being, might not be an immediate priority in the early stages following surgery compared to managing physical recovery and pain tolerance.

A. A client who reports right-sided flank pain and is diaphoretic B. A client who reports shortness of breath and left neck and shoulder pain C. A client who has active bleeding from a puncture wound of the left groin area D. A client who has a raised red skin rash on his arms, neck, and face

Correct Answer is B

Explanation

A: Right-sided flank pain and diaphoresis could indicate a kidney stone or infection, which is painful but not immediately life-threatening.

B: Shortness of breath combined with pain in the neck and shoulder could suggest a myocardial infarction (heart attack), which is a medical emergency requiring immediate attention.

C: Active bleeding from a puncture wound is concerning and requires prompt intervention, but it may not be as immediately life-threatening as a potential heart attack.

D: A raised red skin rash could be a sign of an allergic reaction or infection. While it may require medical attention, it is not as urgent as a potential myocardial infarction.

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A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A case manager is preparing a discharge plan for a client following coronary artery bypass grafting surgery. Which of the following client issues should the nurse address first?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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