A co-worker tearfully confides that she is struggling with a growing work schedule. Which action by the nurse is most appropriate?

Ask if the co-worker needs help with child care.

Encourage the co-worker to switch to herbal remedies.

Refer the co-worker to the employee assistance program (EAP).

Suggest the co-worker try to get a daytime position.

Answer and Explanation

The Correct Answer is C

A. Ask if the co-worker needs help with child care. While offering practical help like child care might seem supportive, it doesn’t directly address the underlying issue of the co-worker’s struggle with the night shift.

B. Encourage the co-worker to switch to herbal remedies. Suggesting herbal remedies is not appropriate, as it doesn't address the root cause of the co-worker's difficulties. Herbal remedies are also not a proven or necessarily safe solution for stress or shift work issues.

C. Refer the co-worker to the employee assistance program (EAP). This is the most appropriate action. The EAP is designed to help employees deal with personal problems, including work-related stress, and can provide professional counseling and support services.

D. Suggest the co-worker try to get a daytime position. While shifting to a daytime position might be a long-term solution, it is not an immediate action. The EAP can help address the stress and explore options, including a potential shift change.

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Correct Answer is D

Explanation

A. The patient is experiencing withdrawal symptoms: Withdrawal symptoms occur when a patient stops taking a medication suddenly after long-term use. However, the scenario does not describe withdrawal symptoms, but rather a loss of effectiveness of the medication.

B. The patient is habituated to the medication: Habituation refers to psychological dependence on a medication, which does not directly explain why the medication is no longer effective.

C. The patient is addicted to the medication: Addiction involves compulsive use of a drug despite harmful consequences and does not explain the loss of effectiveness described.

D. The patient is experiencing tolerance: Tolerance occurs when the body becomes accustomed to a drug, and higher doses are needed to achieve the same effect. The scenario describes tolerance, where the patient feels the medication no longer works.

A. Verify dosage based on weight calculation. B. Make sure that the medication has a barcode. C. Have a glass of water at the bedside. D. Ask the child if they have taken this medication before.

Correct Answer is A

Explanation

A. Verify dosage based on weight calculation. This is the most critical safety action, as pediatric dosages are often weight-based to prevent overdosing or underdosing, ensuring the child's safety and the medication's efficacy.

B. Make sure that the medication has a barcode. While barcode scanning is important to verify the correct medication, it is a secondary action compared to ensuring the correct dosage based on weight.

C. Have a glass of water at the bedside. While having water available can be helpful, especially for oral medications, it is not a critical safety action. The focus should be on the correct dosage.

D. Ask the child if they have taken this medication before. While it can be useful to know a child's previous experience with a medication, this is not a priority safety action compared to verifying the correct dose.

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A co-worker tearfully confides that she is struggling with a growing work schedule. Which action by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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