A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after lunch. Which of the following actions should the nurse take?

Inform the state medical board for an immediate investigation.

Counsel the provider to determine the cause of the substance abuse.

Notify the nursing supervisor of the concerns.

Encourage clients to change to a different provider.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Inform the state medical board for an immediate investigation is not the initial step; concerns should first be reported to appropriate facility personnel.

B. Counsel the provider to determine the cause of the substance abuse is not the nurse’s role; this is a serious issue that requires reporting rather than counseling.

C. Notify the nursing supervisor of the concerns is the appropriate initial step to address the issue according to facility protocol.

D. Encourage clients to change to a different provider is not within the nurse’s scope of practice for handling the provider's behavior and does not address the root issue.

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Correct Answer is B

Explanation

Rationale:

A. The nurse does not relinquish accountability when delegating tasks to an AP; the nurse remains responsible for the overall care and outcomes.

B. Considering the AP's level of experience is crucial for effective delegation to ensure that tasks are matched to the AP's skills and knowledge.

C. Providing client education is generally beyond the scope of AP duties and should be performed by a licensed nurse.

D. Re-delegating tasks is not allowed; the original delegator remains responsible for ensuring the task is completed properly and should delegate directly to the appropriate individual.

A. Check to see if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a cleft palate. B. Wash the hair of an adolescent who reports extreme fatigue and is scheduled for radiation therapy for the treatment of Hodgkin lymphoma. C. Collect a stool sample for ova and parasites from a school-age child D. Engage a toddler in play.

Correct Answer is A

Explanation

Rationale:

A. Check to see if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a cleft palate is the most critical task to ensure that the infant is safe and that the postoperative care is being managed correctly.

B. Wash the hair of an adolescent who reports extreme fatigue and is scheduled for radiation therapy for the treatment of Hodgkin lymphoma is less urgent compared to tasks directly related to patient safety and postoperative care.

C. Collect a stool sample for ova and parasites from a school-age child is important but not as urgent as checking the safety equipment for a postoperative infant.

D. Engage a toddler in play is beneficial but less urgent than tasks related to immediate postoperative care and safety.

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A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after lunch. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is working with an assistive personnel (AP) to care for a group of clients on the pediatric unit. Which of the following tasks should the nurse have the AP perform first?

Correct Answer is A

Explanation

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A nurse has assigned client care activities to an assistive personnel (AP). Which of the following statements by the AP Indicates a need for assistance in establishing priorities?

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