A nurse manager is overseeing employees on their unit.

Exhibits
Which of the following actions is the nurse manager's priority? Select the action that the nurse manager should take first.

Remove the employee from the work environment.

Create a plan for the employee to overcome their substance use Coordinate a ride home for the employee.

Schedule a meeting with the employee to address the occurrence within 24 hr.

Coordinate a ride home for the employee.

Have the employee sign a contract acknowledging that substance use will not be tolerated

Answer and Explanation

The Correct Answer is C

A. Remove the employee from the work environment. While safety is paramount, removing the employee should be a last resort after determining the underlying issues. It does not address the reasons behind the employee's behavior, and it may further exacerbate the problem if there are underlying stressors or personal issues.

B. Create a plan for the employee to overcome their substance use. This option assumes that substance use is the primary issue without further evidence. Addressing potential substance use is important, but creating a detailed plan should come after understanding the employee's situation in a more personalized meeting.

C. Schedule a meeting with the employee to address the occurrence within 24 hr. This action allows the nurse manager to have a direct conversation with the employee to understand their perspective and any potential issues affecting their performance. It demonstrates an attempt to support the employee while addressing performance concerns, creating an opportunity for the employee to express any challenges they may be facing.

D. Coordinate a ride home for the employee. This option may seem compassionate but does not directly address the issue of the employee's behavior or performance. Coordinating transportation does not resolve the ongoing attendance and performance problems and might only serve as a temporary fix without long-term solutions.

E. Have the employee sign a contract acknowledging that substance use will not be tolerated. Although setting clear expectations regarding substance use is important, this should occur after understanding the employee's situation. Simply having the employee sign a contract without discussion may not be effective and could create further resistance or defensiveness in the employee.

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Correct Answer is D

Explanation

A. While cleansing the periurethral area is important, antiseptic cleaning solutions may not be necessary and could lead to irritation. Standard soap and water are often sufficient.

B. Routine catheter irrigation is not recommended and can increase the risk of infection. Catheters should be managed without unnecessary interventions.

C. Limiting indwelling urinary catheter usage is a good practice, but the protocol should focus on maintaining the catheter system rather than a specific time frame for removal.

D. Maintaining a closed system, ensuring connections are sealed securely, is critical in preventing urinary tract infections (UTIs) as it minimizes the risk of pathogens entering the urinary tract.

A. Notify the provider. B. Complete an incident report. C. Inform the nursing supervisor. D. Observe the client's condition.

Correct Answer is D

Explanation

A. While notifying the provider is important, it should not be the first action taken. The priority is to assess the client's condition to determine if there are any immediate effects from the additional medication dose.

B. Completing an incident report is necessary but comes after assessing the client’s condition.

C. Informing the nursing supervisor is important for documentation and support but should follow the assessment of the client.

D. Observing the client's condition is the most critical first step. This ensures that the nurse can identify any potential adverse effects from the additional dose and provide necessary interventions promptly.

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A nurse manager is overseeing employees on their unit. Exhibits Which of the following actions is the nurse manager's priority? Select the action that the nurse manager should take first.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is developing a protocol to reduce the incidence of UTIs in clients who have an indwelling urinary catheter. Which of the following interventions should the nurse include in the protocol?

Correct Answer is D

Explanation

A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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A nurse manager is overseeing employees on their unit.

Exhibits
Which of the following actions is the nurse manager's priority? Select the action that the nurse manager should take first.