A newly hired unlicensed assistive personnel (UAP) is assigned to a home healthcare team along with two experienced UAPs. Which intervention should the home health nurse implement to ensure adequate care for all clients?

Assign the newly hired UAP to clients who require the least complex level of care.

Review the UAP's skills checklist and experience with the person who hired the UAP.

Ask the most experienced UAP on the team to partner with the newly hired UAP.

Evaluate the newly hired UAP's level of competency by observing the UAP deliver care.

Answer and Explanation

The Correct Answer is D

A. Assigning the UAP to less complex clients may not adequately assess their competencies.

B. Reviewing documentation provides useful background information, but it does not verify actual competency in performing tasks. Direct observation is necessary.

C. While pairing with an experienced UAP may provide guidance, it does not replace the nurse’s responsibility to assess competency and ensure safe care.

D. The nurse is responsible for ensuring that all team members provide safe and appropriate care. Before assigning tasks, the nurse should assess the newly hired UAP’s competency by directly observing them perform client care. This helps determine their skill level and ensures client safety.

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Correct Answer is ["C","D","E","F"]

Explanation

A. Have an opioid agonist at the bedside is not necessary because clonazepam is a benzodiazepine, and its administration does not typically require an opioid agonist as a safety measure. This choice is not relevant to clonazepam.

B. Monitoring calcium levels is not a standard nursing intervention for a patient starting clonazepam. This medication does not typically affect calcium levels.

C. Clonazepam can cause dry mouth, making good oral hygiene important to prevent complications such as dental caries or oral infections. Regular oral care helps maintain oral health.

D. Clonazepam can cause sedation and dizziness, increasing the risk of falls. Assisting the client to the bathroom helps ensure their safety while they may be adjusting to the medication.

E. Benzodiazepines, including clonazepam, can cause sedation and dizziness, leading to orthostatic hypotension. Monitoring for this condition is important to prevent falls and ensure the client’s safety.

F. Regular assessment of mental status is crucial as clonazepam can cause drowsiness, confusion, or cognitive impairment, especially in older adults. Monitoring helps detect any adverse effects early on.

A. Depletion of clotting factors. B. Activation of complement pathways. C. Production of extra platelets. D. Inhibition of red blood production.

Correct Answer is A

Explanation

A. Depletion of clotting factors occurs in DIC as the coagulation cascade is activated, leading to the formation of clots and subsequent consumption of clotting factors, which can result in bleeding.

B. Activation of complement pathways is part of the immune response but does not directly explain the coagulopathy seen in DIC.

C. Production of extra platelets may occur, but in DIC, platelets are consumed more rapidly than they can be produced, contributing to bleeding risks.

D. Inhibition of red blood production is not directly related to the coagulation issues seen in DIC; rather, it relates more to the overall effects of shock and organ dysfunction.

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A newly hired unlicensed assistive personnel (UAP) is assigned to a home healthcare team along with two experienced UAPs. Which intervention should the home health nurse implement to ensure adequate care for all clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits The nurse reviews the healthcare providers (HCP) prescription for clonazepam and gives the medication as prescribed. Which nursing intervention(s) is/are appropriate for the client starting clonazepam? Select all that apply.

Correct Answer is ["C","D","E","F"]

Explanation

A client with septic shock develops disseminated intravascular coagulation (DIC). Which pathophysiologic process should the nurse recognize as the cause of the coagulation problem?

Correct Answer is A

Explanation

A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent?

The nurse observes that a client with ascites is dyspneic. Which action should the nurse implement first?

The nurse is working on an infectious disease unit. Which client should be assigned to a room with negative airflow, while requiring personnel to use a particulate respirator mask, and requiring staff to observe airborne, as well as standard precautions?

The nurse is preparing a teaching plan for an older adult client diagnosed with osteoporosis. Which expected outcome has the highest priority for this client?

The nurse is teaching an older client about the prevention of osteoporosis. Which foods should the nurse recommend to the client to increase in the diet?

The nurse is assessing a 3-month-old client who had a pyloromyotomy yesterday. This child should be medicated for pain based on which finding(s)? Select all that apply.

Exhibits For each assessment finding, click to indicate whether the findings from the client's assessment are generally associated with rotator cuff injury and humeral fracture. Each column must have at least one response selected.