A nurse is working in a healthcare facility and notices that several colleagues are not using the appropriate personal protective equipment (PPE) while handling potentially infectious materials. The nurse is concerned about compliance with safety regulations and the risk of exposure to bloodborne pathogens. Which of the following actions should the nurse take to address this situation in accordance with OSHA regulations?

Submit a formal complaint to OSHA about the facility's lack of PPE usage.

Report the non-compliance to the facility's infection control department for further investigation and follow-up.

Remind colleagues to wear PPE when handling potentially infectious materials and document the incident in the staff meeting notes.

Conduct a quick in-service training on PPE for the colleagues who are not using it.

Answer and Explanation

The Correct Answer is B

A. Submitting a formal complaint to OSHA may be a necessary step if internal resolution fails, but it is not the immediate action to address the issue.

B. Reporting non-compliance to the infection control department is the most appropriate action. This department is responsible for ensuring adherence to safety protocols and can address the issue promptly.

C. While reminding colleagues and documenting the incident are important, reporting to the infection control department ensures a formal review and follow-up on the issue.

D. Conducting in-service training is useful for education but may not immediately address non-compliance or ensure adherence to OSHA regulations.

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

Explanation

A. Telling the client she should leave is not supportive and may not be appropriate; decisions about leaving should be made by the client.

B. Helping the client get her partner into a treatment program is not within the nurse's immediate role and does not address the client’s immediate safety needs.

C. Helping the client to develop a safety plan and providing emergency contact information is crucial for the client’s immediate safety and is an appropriate intervention.

D. Assisting the client to explore resources such as shelters and legal protection supports her in making informed decisions and accessing necessary help.

E. Communicating acceptance of the client's decision and avoiding blame helps build trust and ensures the client feels supported in a non-judgmental environment.

A. Primary prevention aims to prevent the onset of disease, which is not the focus here. B. Workplace prevention is not a specific level of prevention; it may include aspects of primary and secondary prevention. C. Secondary prevention involves early detection and intervention to prevent the progression of a disease, but since the client already has the condition, tertiary prevention is more applicable.

Correct Answer is C

Explanation

A. Identify other resources for providing food service is not the nurse’s primary function during the inspection.

B. Promote the health of clients affected by the previous outbreaks is important but not the primary function during the kitchen inspection.

C. Educate the kitchen workers about safe food preparation is a key function to prevent future outbreaks by ensuring proper food handling practices are followed.

D. Ensure the workers' understanding of various microorganisms is important but less immediate than ensuring safe food preparation practices.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client tells the community nurse that her partner has been abusive, but she doesn't want to leave. The client asks the nurse for assistance. Which nursing interventions are appropriate in this situation? Select all that apply

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

Explanation

A. Tertiary prevention is correct as it involves managing and improving the quality of life for individuals who already have a chronic disease or disability. Rehabilitation and strength training aim to help the client live better despite the existing condition.

Correct Answer is C

Explanation

After educating a new nurse about how to approach a victim of human trafficking, which of the following topics, if verbalized by the nurse, would indicate the need for additional instruction?

The role of the nurse regarding complementary and alternative medicine should include which action?

A nurse educator is presenting about the long-term effects of witnessing intimate partner violence (IPV) on children. The nurse knows that the material was understood if the staff accurately identify which of the following as adverse childhood events (ACES) impacting children? Select all that apply

A community health nurse is screening for alcohol addiction in a community that has a very high auto accident rate. Which of the following tools would be used to assess this phenomenon?

A nurse is presenting a lecture on cultural competence. Which of the following behaviors would be an example of ethnocentrism?

A cultural assessment provides information to the healthcare provider about the effect of culture on which of the following? (Select all that apply)

A nurse enters an 80 year old client's room to educate about a heart healthy diet. The nurse sits close to the client and speaks very loudly and slowly. Which of the following is this nurse demonstrating?

A nurse is working in the emergency department, and is conducting an interview with a victim of intimate partner abuse. Which step should the nurse take first?