A nurse is planning to assign care activities to nursing assistive personnel (NAP) on her team. Which of the following activities can the nurse assign to the NAP? [SELECT ALL THAT APPLY]

Accompany a client who has depression to occupational therapy.

Initiate soft wrist restraints on a client who is at risk for self-harm.

Sit with a client who has alcohol use disorder and whose last drink was five days ago.

Set limits with a client who has mania.

Work a jigsaw puzzle with a client who has dementia.

Assess a client who has hypomania for exhaustion.

Answer and Explanation

Correct Answer : A,E

A.   This is a routine task that can be safely delegated to a NAP. It does not require complex decision- making or assessment skills.
B.   This task requires the ability to assess the client's condition and determine the appropriate level of restraint. It is a task that should be performed by an RN or licensed practical nurse (LPN).
C.   While this may seem like a simple task, it requires the ability to monitor the client for signs of withdrawal and to intervene if necessary. It is a task that should be performed by an RN or LPN.
D.   This task requires the ability to assess the client's behavior and to intervene if necessary. It is a task that should be performed by an RN or LPN.
E.   This is a therapeutic activity that can be delegated to a NAP. It can help to stimulate the client's cognitive function and provide social interaction.
F.   This task requires the ability to assess the client's condition and identify potential complications. It is a task that should be performed by an RN or LPN.

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Correct Answer is A

Explanation

A. Filing an event report after a medication error is a professional and responsible action. This behavior promotes transparency and accountability and is often required by healthcare facilities to improve safety and prevent future errors. Generally, filing such a report itself does not carry disciplinary consequences, especially if done in accordance with the facility's policies.
B. This behavior can have serious disciplinary consequences. Humiliating a colleague can create a hostile work environment, which may lead to formal complaints and disciplinary actions against the nurse manager. Such actions violate workplace professionalism and can result in legal repercussions as well.
C. This behavior can also lead to disciplinary action. Condescension and disrespect undermine teamwork and can discourage open communication, which is critical in healthcare settings. This behavior can be reported and may be addressed by management or human resources.
D. Sexual harassment of a patient is a serious offense that can lead to severe legal and disciplinary consequences. It is a violation of ethical and legal standards in healthcare, resulting in potential termination, loss of licensure, and legal action.

A. Protamine B. Naloxone C. Neostigmine D. Flumazenil

Correct Answer is B

Explanation

A. Protamine is an antidote for heparin and is used to reverse anticoagulation effects. It is not relevant in the context of administering morphine, which is an opioid analgesic.
B. Naloxone is an opioid antagonist that is specifically used to reverse the effects of opioid overdose, including respiratory depression caused by morphine. Having naloxone available is a critical safety measure when administering opioids, as it can quickly counteract the effects if the patient experiences severe sedation or respiratory distress.
C. Neostigmine is a medication used to treat myasthenia gravis and to reverse the effects of non- depolarizing neuromuscular blockers. It is not related to the administration of morphine and does not serve as a reversal agent for opioid effects.
D. Flumazenil is a benzodiazepine antagonist used to reverse the effects of benzodiazepine sedation. It is not used for opioid reversal and would not be applicable in the context of morphine administration.

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A nurse is planning to assign care activities to nursing assistive personnel (NAP) on her team. Which of the following activities can the nurse assign to the NAP? [SELECT ALL THAT APPLY]

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following behaviors would not have disciplinary or legal consequences?

Correct Answer is A

Explanation

A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available?

Correct Answer is B

Explanation

A member of the team has been delegated some tasks and reports, "I've been given too much to do and I'm not going to be able to complete the work on time." What is the RN's best initial action?

A registered nurse has been leading teams of nursing assistive personnel (NAP) for several years and will soon be leading licensed practical nurses (LPNs) for the first time. In preparation for delegating to these nurses, the RN should:

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A nurse is planning to assign care activities to nursing assistive personnel (NAP) on her team. Which of the following activities can the nurse assign to the NAP? [SELECT ALL THAT APPLY]

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A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

A nurse-manager discovered that a nurse was retrieving narcotics from sharps containers and has been abusing these medications for several months. When addressing this behavior and assisting the nurse, what factor should the manager prioritize?