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

Help the AP assist the client with the transfer

Demonstrate the proper client transfer technique to the AP

Instruct the AP to request assistance when unsure about a task

Refer the AP to the facility procedure manual

Answer and Explanation

The Correct Answer is B

a.   While helping the AP assist the client with the transfer is a hands-on approach, it might not address the root cause of the incorrect technique. Demonstrating the proper technique ensures that the AP understands the correct method for future transfers.
b.   This option directly addresses the observed issue by providing immediate education and correction to the AP, helping to prevent future errors.
c.   Instructing the AP to request assistance when unsure about a task is a good general practice, but in this specific scenario, addressing the incorrect technique is more pressing.
d.   Referring the AP to the facility procedure manual might provide guidance, but it doesn't offer immediate correction or education on the observed error.

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Correct Answer is D

Explanation

a. Accompanying a client who just had a wound debridement to physical therapy - LPNs can assist with client mobility and transportation, but wound debridement is a procedure that typically requires RN-level assessment and monitoring.

b. Obtaining a urine specimen from an older adult client - This role is more appropriate for the assstive personnel

c. Providing postmortem care for a client that just died - This task involves emotional support, dignity, and respect for the deceased, as well as proper documentation. It's within the RN scope of practice due to its complexity and emotional sensitivity.

d. Reinforcing dietary teaching with a client who has heart disease - LPNs can reinforce teaching once the initial teaching has been done by the RN, and dietary education for clients with heart disease often involves routine guidelines and doesn't necessarily require the comprehensive assessment and education provided by an RN. Therefore, this task is appropriate for the LPN.

A. The time the client received his last dose of pain medication B. The belief that the client has a difficult relationship with his son C. The steps to follow when providing wound care D. The client's preferred time for bathing

Correct Answer is A

Explanation

- A) Knowing the time the client received his last dose of pain medication is crucial for continuity of care, ensuring that the client receives their next dose on time and pain management is consistent.
- B) Personal beliefs about the client's relationships are not relevant to the medical care and should remain confidential unless it directly impacts the care plan.
- C) While important, the detailed steps for wound care will be included in the client's care plan and are not typically communicated during a change-of-shift report unless there is a change or an issue.
- D) The client's preferred time for bathing is a part of personal care preferences and, while important for client comfort, is not critical information for a change-of-shift report unless it affects immediate care needs.

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A nurse manager observes 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

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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