A nurse manager for a medical-surgical unit is preparing the agenda for a unit meeting.
Which items should the nurse manager include in the unit meeting? For each identified item, indicate if the nurse manager should include during unit meeting or if the content should be addressed with a specific individual team member.
Review mandatory nursing skills and competencies for nursing.
Review central line infections rates and causes. Include review of proper care of central lines.
Review the incident of disruptive behavior and discuss the principles of civility and respect.
Review near miss fall and fall precautions, bed position, rounding, and appropriate use of bed or chair alarms.
Meet to talk about mislabeling of laboratory specimen and discuss the policy and procedure for how to do it correctly.
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Review mandatory nursing skills and competencies: This topic is a general unit-wide requirement, so it should be discussed in the unit meeting to ensure all nurses are informed of the schedule and importance of maintaining competencies.
Review central line infections rates: This is a quality and safety issue affecting the entire unit. All team members should be aware of infection control practices, so it is appropriate for the unit meeting.
Disruptive behavior incident: Since disruptive behavior affects the unit's work environment and patient care, the nurse manager should include a review of this issue in the meeting. This provides an opportunity to educate the team about maintaining professionalism and civility.
Near miss fall: Fall prevention and safety are critical topics for the entire team. This should be covered in the unit meeting to reinforce safety protocols and discuss strategies to prevent future incidents.
Mislabeled specimen: This issue involves a specific individual (T.J., the AP), and corrective actions should be taken with them. The nurse manager should meet privately with T.J. to discuss the repeated errors, reinforce the importance of accuracy in specimen labeling, and review policies and procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Avoiding the physician is unprofessional and can lead to further breakdowns in communication and collaboration.
B. While discussing the issue with a nurse manager can be helpful, it may not resolve the conflict directly between the nurse and physician.
C. Reporting disagreements to administration should be a last resort after attempts to resolve the conflict directly.
D. A direct meeting with the physician to discuss perspectives can lead to understanding and resolution of the conflict, fostering better teamwork and patient care.
Correct Answer is B
Explanation
A: Refers to fluid retention, but in PKD, it’s cystic enlargement, not generalized fluid accumulation in the abdomen.
B: PKD is characterized by multiple fluid-filled cysts that cause kidneys to enlarge, contributing to abdominal distention or girth.
C: Describes hydronephrosis or severe infection, but that’s not specific to PKD's typical cause of abdominal enlargement.
D: Obstructive uropathy might cause backup, but wouldn’t explain chronic progressive abdominal girth in PKD.
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