A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

Instruct the AP to request assistance when unsure about a task.

Help the AP assist the client with the transfer.

Refer the AP to the facility procedure manual.

Demonstrate the proper client transfer technique for the AP.

Answer and Explanation

The Correct Answer is B

A.   Instruct the AP to request assistance when unsure about a task: While this is an important instruction, the immediate priority is ensuring the safety of the client during the transfer.
B.   Help the AP assist the client with the transfer: This is the correct answer. The nurse should intervene immediately to ensure the safety of the client during the transfer. Providing assistance to the AP in safely transferring the client is the most appropriate action to take first.
C.   Refer the AP to the facility procedure manual: While facility procedures are important, referring to the manual may not address the immediate need to correct the incorrect transfer and ensure client safety.
D.   Demonstrate the proper client transfer technique for the AP: While education and demonstration of correct techniques are important, the immediate priority is to intervene and ensure the safety of the client during the transfer.

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Correct Answer is B

Explanation

- A. Bite block: This is not the correct choice. A bite block is used to prevent a patient from biting down on tubes or other equipment, not typically required for a patient with dysphagia.
- B. Yankauer suction device: This is the correct choice. A Yankauer suction device is used to clear the oral cavity of secretions or food particles, which is essential for a patient with dysphagia to prevent aspiration.
- C. Large-handled utensils: While these may be helpful for a patient with dysphagia to feed themselves more easily, they are not as critical as ensuring the airway is clear of obstructions.
- D. Nasal cannula and oxygen: This equipment would be necessary if the patient had respiratory issues, but it is not specifically related to the management of dysphagia.

A. A system for tracking client information B. A network for communication between staff members and families C. A mental health specialist on the response team D. A sufficient supply of personal protective equipment

Correct Answer is D

Explanation

A. While tracking client information is important for managing patient care during a disaster, the immediate priority during a bioterrorism event is ensuring the safety of personnel through the availability of personal protective equipment.
B. Effective communication is vital during emergencies, but without adequate personal protective equipment, healthcare workers may be at risk of exposure to hazardous biological agents.
C. Mental health support is essential during and after disasters, but in the immediate response to a bioterrorism event, ensuring the availability of personal protective equipment takes precedence in protecting healthcare workers and containing the spread of biological agents.
D. Personal protective equipment (PPE) such as masks, gloves, gowns, and face shields are crucial for safeguarding healthcare workers from exposure to potentially harmful biological agents. During a bioterrorism event, healthcare workers may come into contact with infectious materials, and proper PPE can significantly reduce the risk of transmission.

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A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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