A nurse manager suspects a health care worker is experiencing chemical impairment. Which of the following actions should the nurse manager take first?

Discuss the incident with the health care worker.

Document the findings of the incident.

Remove the health care worker from the work environment.

Place the health care worker on probation.

Answer and Explanation

The Correct Answer is C

A. Discuss the incident with the health care worker: While addressing the suspected impairment with the worker is important, immediate removal from the work environment takes priority to ensure patient safety and prevent potential harm. Confrontation can follow after securing a safe environment.

B. Document the findings of the incident: Documentation is essential for legal and professional accountability, but it is secondary to protecting patients from immediate risk. Recording observations does not prevent ongoing exposure to unsafe practice.

C. Remove the health care worker from the work environment: The first priority is ensuring patient safety. Suspected chemical impairment can impair judgment, coordination, and response time, creating a high risk for errors or accidents. Immediate removal prevents potential harm to clients and coworkers.

D. Place the health care worker on probation: Probation is a disciplinary measure that may follow an investigation, but it is not the first step. Immediate action must focus on safety, and probation does not address the urgent risk posed by active impairment.

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Correct Answer is D

Explanation

A. Administer an antibiotic to the child for 10 days: RSV is a viral infection, and antibiotics are ineffective against viruses. Antibiotics are only indicated if a secondary bacterial infection develops. Routine antibiotic therapy does not treat RSV and should not be included in teaching.

B. Cyclophosphamide can be given to decrease the duration of the infection: Cyclophosphamide is an immunosuppressive chemotherapy agent and has no role in treating RSV. Administering this medication would be inappropriate and harmful in a child with a viral respiratory infection.

C. Wear an N95 mask when in direct contact with the child: Standard precautions for RSV involve contact and droplet precautions, typically including a surgical mask, gloves, and gown. An N95 mask is not required for routine care of RSV, as transmission risk is primarily via contact with secretions and large respiratory droplets.

D. RSV is transmitted by direct contact with respiratory secretions: RSV spreads through close contact with contaminated secretions from coughing, sneezing, or touching surfaces. Teaching guardians about transmission helps prevent spread and reinforces the importance of hand hygiene and infection control measures in the home.

A. The client takes 2 short naps during the day. B. The client engages in quiet activities in their room. C. The client slept 5 hr the previous night. D. The client appears to listen to unseen others. E. The client consumes 8 oz of high-calorie fluids each hour.

Correct Answer is ["A","B","C","E"]

Explanation

A. The client takes 2 short naps during the day: The ability to rest indicates decreased hyperactivity and improved regulation of sleep-wake cycles, reflecting early stabilization of manic symptoms.

B. The client engages in quiet activities in their room: Participation in calm, structured activities demonstrates reduced agitation and impulsivity, suggesting improvement in mood stability and ability to focus.

C. The client slept 5 hr the previous night: Improved sleep duration is a positive sign, as insomnia and decreased need for sleep are hallmark symptoms of mania. Achieving rest indicates partial symptom resolution.

D. The client appears to listen to unseen others: Continued auditory hallucinations indicate persistent psychotic features and do not represent improvement. These symptoms require ongoing monitoring and treatment.

E. The client consumes 8 oz of high-calorie fluids each hour: Adequate fluid and calorie intake reflects improved self-care and nutrition, which are often compromised during acute manic episodes. This is a positive indicator of functional recovery.

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A nurse manager suspects a health care worker is experiencing chemical impairment. Which of the following actions should the nurse manager take first?

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the guardians of a child who has respiratory syncytial virus (RSV). Which of the following information should the nurse include?

Correct Answer is D

Explanation

The nurse is continuing to care for the client. The nurse is assessing the client. Which of the following findings indicate an improvement in the client's condition? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

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