A nurse tells the unit manager, "I am tired of all the changes on the unit. If things don't get better, I'm going to quit." Which of the following responses by the unit manager is appropriate?

"So you are upset about all the changes on the unit?"

"You should file a written complaint with hospital administration."

"Just stick with it a little longer. Things will get better soon."

"I think you have a right to be upset. I am tired of the changes, too."

Answer and Explanation

The Correct Answer is A

It demonstrates active listening on the unit manager and willingness to understand the root cause of the dissatisfaction.

B. It shows unwillingness to understand and address issues at that level

C. It is inappropriate as it undermines the concerns of the nurse

D. It is not appropriate for a unit manager to say that as it shows the inability to offer solutions for the staff problems.

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Correct Answer is C

Explanation

In this scenario, the nurse has a role to respect the parents’ autonomy but also be an advocate for the health of the client who is a minor. The nurse needs the input of the ethics committee to assist in navigating the ethical dilemma.

The other clients’, A, B and D, do not pose any ethical dilemmas for the nurse as they are adult and can make legally binding decisions.

A. Uses a sterile-gloved hand to adjust the back of the sterile gown B. Uses sterile forceps to pack sterile gauze into the wound C. Places sterile gauze 1.3 cm (0.5 in) away from the edge of a sterile drape D. Sets up the sterile field 30 min prior to performing the dressing change

Correct Answer is B

Explanation

Using a sterile pair of forceps to pack a sterile gauze maintains sterility to reduce risk of wound contamination and infection.

A. The back of the sterile gown is considered unsterile and using sterile gloves to touch it breaches sterility.

C. Any part of the sterile field that is within 1 inch from the edge is considered contaminated D. Prolonged exposure of sterile tools to airborne microorganisms can lead to contamination.

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A nurse tells the unit manager, "I am tired of all the changes on the unit. If things don't get better, I'm going to quit." Which of the following responses by the unit manager is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee?

Correct Answer is C

Explanation

A nurse preceptor is observing a newly hired nurse perform a sterile dressing change. Which of the following actions should the nurse preceptor identify as maintaining sterile technique?

Correct Answer is B

Explanation

A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

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A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?

A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?

A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

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