A nurse is uncharacteristically extroverted on today's shift, with an unsteady gait. The manager suspects that the nurse may be chemically Impaired. What is the manager's most appropriate action?
Promptly confront the nurse to discuss this suspicion
Ask the other nurses and staff members on the unit if they have noticed the same thing
Document this finding and communicate with the personnel department
Monitor the nurse's behavior closely for the remainder of the shift
The Correct Answer is D
A. While it is important to address concerns about impairment, confronting the nurse directly can be counterproductive and may escalate the situation. It is essential to approach the situation with caution and follow established protocols for dealing with suspected substance impairment.
B. While gathering observations from colleagues may seem reasonable, it can create a culture of gossip and may violate confidentiality. This approach can also lead to misinformation and should not be the first step in addressing a serious concern about a colleague's safety and well-being.
C. Documenting observations is important, but it should not be the sole action taken at this point. Communicating with the personnel department is part of the process if the situation escalates, but immediate action is necessary to ensure patient safety.
D. This option is the most appropriate initial action. By closely monitoring the nurse’s behavior, the manager can gather more information before taking further steps. This approach allows for the collection of objective data and ensures patient safety while avoiding premature accusations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. An oncology nurse is a licensed nurse who is knowledgeable about blood transfusions and patient safety protocols. They are qualified to double-check the blood label against the client ID bracelet, as they understand the importance of this process in preventing transfusion reactions.
B. Assistive personnel (like nursing assistants or aides) typically do not have the training or authority to perform safety checks on blood products. They are generally involved in basic care tasks and do not have the necessary knowledge to verify blood transfusion details.
C. While phlebotomists are trained in drawing blood and may understand some aspects of blood work, they typically do not have the authority or training to verify blood products for transfusion. This task requires nursing judgment and knowledge of patient safety protocols.
D. A senior nursing student may have some knowledge of blood transfusion protocols, but they typically do not have the full licensure or experience of a registered nurse. While they may assist with many tasks, they should not be responsible for critical safety checks like verifying blood products for transfusion without supervision from a licensed nurse
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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