A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action?

Complete an incident report.

Quietly tell the APS that this is not appropriate.

Ask the nurse manager to provide an inservice program about confidentiality to the staff on the unit.

Document the occurrence in a personal log.

Answer and Explanation

The Correct Answer is B

A: An incident report may follow, but immediate action is needed first.
B: This is an immediate breach of confidentiality. Addressing the issue in the moment helps stop further violation and educate staff without delay.
C: An inservice is helpful but is a long-term solution, not a priority response.
D: A personal log does not correct the issue or stop the current breach.

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Correct Answer is ["31"]

Explanation

First, we need to determine the total volume in milliliters: 1 liter = 1000 mL

Next, we need to find the total number of minutes for the infusion: 8 hours × 60 minutes/hour = 480 minutes

Now, we can calculate the total number of drops to be infused: Total drops = Total volume (mL) × Drop factor (gtts/mL) Total drops = 1000 mL × 15 gtts/mL = 15000 drops

Finally, we can calculate the drops per minute: Drops/minute = Totaltime(minutes)Totaldrops Drops/minute = 480minutes15000drops Drops/minute = 31.25 drops/minute

Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 31 drops/min.

A. Weigh a client who has heart failure. B. Check a blood product with another nurse prior to administration. C. Ambulate an older adult client who has hypertension. D. Perform an admission assessment on a client. E. Provide discharge instructions for a client who has a new skin graft.

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

Explanation

A: APs can collect objective data like weight for stable clients.
B: Checking blood products is an RN-only task due to safety risks.
C: APs can assist with ambulation of stable clients.
D: Admission assessments require critical thinking—RN only.
E: Discharge teaching is a nursing responsibility that involves evaluating client understanding.

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A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["31"]

Explanation

A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply.)

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

Explanation

A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?

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A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action?

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