A nurse is observing an assistive personnel (AP) provide care to a group of clients. Which of the following actions by the AP requires intervention by the nurse?

Removing gloves before leaving an isolation room

Filling a basin with water at 40° C (104° F) when providing foot care

Instructing a client to look down at their feet when being assisted to ambulate

Applying water-soluble lubricant to the nares of a client who is receiving oxygen

Answer and Explanation

The Correct Answer is B

A. Removing gloves before leaving an isolation room is appropriate practice and helps prevent the spread of infection.
B. Filling a basin with water at 40° C (104° F) is too hot for foot care and could lead to burns or injury; water temperature for foot care should be comfortably warm, typically around 37°C (98.6°F).
C. Instructing a client to look down at their feet when being assisted to ambulate is a safety measure that can help the client maintain balance and avoid tripping.
D. Applying water-soluble lubricant to the nares of a client receiving oxygen is a standard practice to prevent dryness and does not require intervention.

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Correct Answer is ["A","B","C"]

Explanation

A. Ambulate with the client to bathroom. Safe sitters can assist with ambulation, ensuring the client’s safety while moving.
B. Document the client's vital signs. Safe sitters can document routine measurements like vital signs.
C. Assist the client with eating. Safe sitters can help clients with basic needs such as eating.
D. Administer PRN medication to the client. Administering medication requires clinical judgment and is within the scope of practice for licensed nurses, not safe sitters.
E. Notify the provider about the client's forearm. Communicating with providers about clinical concerns requires clinical judgment and is the responsibility of licensed nurses.

A. Ask each staff nurse for information about the problem. B. Listen to what concerns each staff nurse. C. Discuss ways to resolve and meet the needs of each staff nurse. D. Move the staff nurses to a private area.

Correct Answer is D

Explanation

A. Asking each nurse for information about the problem is essential, but it should occur after addressing the immediate need for privacy.
B. Listening to the concerns of each staff nurse is important, but doing so in a private area ensures confidentiality and reduces further escalation.
C. Discussing ways to resolve the conflict is necessary, but first creating a safe and private environment is vital for open communication.
D. Moving the staff nurses to a private area is the first step to ensure they can discuss their conflict without external pressures or interruptions, which facilitates a more constructive dialogue.

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A nurse is observing an assistive personnel (AP) provide care to a group of clients. Which of the following actions by the AP requires intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client. Exhibits A nurse is assisting in planning care for the client. Which of the following tasks should the nurse recommend to delegate to the staff member assigned as a safe sitter? Select the 3 tasks the nurse should recommend to delegate.

Correct Answer is ["A","B","C"]

Explanation

A nurse in a long-term care facility is witnessing a conflict between two staff nurses about a client assignment. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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