A practical nurse (PN) is at the nurses' station describing her social life, sexual activities, and alcohol drinking in a boisterous voice that might be heard by clients and visitors. What is the best action that a peer nurse should do?
Report the situation to the nursing supervisor or peer review committee.
Determine if the conversation was overheard by the clients.
Suggest going to the nurses' lounge if she needs to discuss these topics.
Ask the PN to lower her voice when visitors walk by.
The Correct Answer is C
A. Report the situation to the nursing supervisor or peer review committee: Formal reporting is generally reserved for repeated or severe breaches of professional conduct. Immediate, low-risk interventions can be attempted first to correct behavior without escalating.
B. Determine if the conversation was overheard by the clients: While awareness of potential client exposure is helpful, it does not directly address or correct the unprofessional behavior in real time.
C. Suggest going to the nurses' lounge if she needs to discuss these topics: Redirecting the PN to a private area for personal conversations addresses the issue promptly and maintains client confidentiality and professionalism. This approach is practical, respectful, and prevents further exposure to clients and visitors.
D. Ask the PN to lower her voice when visitors walk by: Lowering the voice may reduce audibility temporarily but does not fully prevent exposure or reinforce professional boundaries. A private location is a more effective solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Reflex hammer: A reflex hammer is used to assess deep tendon reflexes and is not needed for hearing tests like the Weber test.
B. Tuning fork: The Weber test evaluates bone conduction of sound to detect unilateral hearing loss. A tuning fork is the appropriate instrument to perform this test.
C. DinamapR: This device measures blood pressure and has no application in conducting auditory assessments such as the Weber test.
D. Doppler: A Doppler device is used to assess blood flow and pulses, not for auditory testing, and would not be useful in performing the Weber test.
Correct Answer is C
Explanation
A. Eliminate citrus drinks from diet: While very acidic drinks can cause discomfort in some clients, avoiding citrus is not a primary strategy to prevent dumping syndrome. The focus is on timing of fluid intake and meal composition rather than specific fruits.
B. Avoid drinking caffeinated beverages: Limiting caffeine may help with overall hydration and tolerance, but caffeine avoidance does not directly prevent dumping syndrome, which is caused by rapid gastric emptying.
C. Consume fluids 30 minutes to one hour after meals: Delaying fluid intake until after meals slows gastric emptying and helps prevent rapid shifts of fluid into the small intestine, which can trigger dumping syndrome. This is a primary dietary strategy taught to post-gastric bypass clients.
D. Increase intake of carbonated fluids after meals: Carbonated beverages can increase gastric distention and worsen symptoms such as cramping, nausea, and diarrhea, thereby increasing the risk of dumping syndrome rather than preventing it.
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