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

Alert the infection control department

Discuss the issue with the AP

Reinforce facility protocols at the next staff meeting

Notify the unit manager about the incident

Answer and Explanation

The Correct Answer is B

a.   While alerting the infection control department is important, directly addressing the issue with the involved personnel should be the initial action.
b.   Discussing the issue with the assistive personnel (AP) allows for immediate clarification of the protocol and provides an opportunity to correct the behavior.
c.   Reinforcing facility protocols at a staff meeting may be necessary but should not be the first step when immediate action is required.
d.   Notifying the unit manager is important, but addressing the issue with the AP directly is the first step in resolving the situation and preventing future occurrences.

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Correct Answer is D

Explanation

a. While limited social support is important to address for a successful discharge plan, it may not be as urgent as addressing issues directly related to the client's recovery from surgery.
b. Decreased self-esteem is a significant concern but may not directly impact the client's immediate postoperative recovery and discharge plan.
c. Inadequate food supply is important to address for the client's overall well-being but may not be as urgent as addressing issues directly related to the client's recovery from surgery.
d. Low pain tolerance can significantly affect the client's recovery process and may require immediate attention to ensure adequate pain management postoperatively.

A. “If you have the procedure now, you won’t have to deal with pain and disability later” B. “I understand, and it’s not too late to change your mind” C. “Why didn’t you discuss your concerns with your provider” D. “You’ll be fine. You’ll receive a prescription for pain medication”

Correct Answer is B

Explanation

a. This response may come across as dismissive of the client's concerns and may not address the client's anxiety about pain adequately.
b. This response validates the client's feelings, acknowledges that it's okay to change their mind, and opens the door for further discussion or exploration of alternatives.
c. This response may sound accusatory and may not effectively address the client's immediate concerns.
d. This response does not address the client's worries about pain and may minimize their concerns.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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