A nursing assistant reports seeing a reddened area on the patient's hip while bathing the patient. The nurse should:
Document the finding per the nurse assistant's report
Request a wound nurse consult
Ask the nursing assistant to apply a dressing over the reddened area
Go to the patient's room to assess the patient's skin
The Correct Answer is D
A. Documenting without assessing first can overlook the need for immediate intervention.
B. A consult may be needed later, but initial assessment is critical.
C. The nursing assistant should not apply a dressing without the nurse's assessment.
D. Directly assessing the reddened area allows the nurse to determine the appropriate intervention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Activating the alarm is important, but the immediate priority is patient safety.
B. Extinguishing the fire is critical but should come after ensuring the patient's safety.
C. Removing the patient is the first priority to ensure their immediate safety from potential harm.
D. Confined fires should only be addressed after the patient is secured.
Correct Answer is C
Explanation
A. Sympathy is important, but it is not the only factor in effective communication.
B. Automatic responses may lack personalization and hinder effective communication.
C. Self-examination of personal communication skills allows for improvement and adaptation in interactions with patients.
D. Passive remarks do not facilitate effective communication or engagement.
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