A practical nurse (PN) who works on a 16-bed wing of an extended care facility with an additional PN and an unlicensed assistive personnel (UAP) is told that the other PN will not be in because of illness. The facility manager agrees to obtain another UAP for the day. Which action should the PN take?
Inform the manager that the facility will have to assume responsibility for incidents related to staffing.
Refuse to take charge and go home rather than risk working in an unsafe situation.
Assign some tasks usually performed by the additional PN to the UAP who is normally on the wing.
Prioritize assessment of safety issues in addition to administration of daily medication.
The Correct Answer is D
A. Inform the manager that the facility will have to assume responsibility for incidents related to staffing: This is confrontational and does not address immediate care needs.
B. Refuse to take charge and go home rather than risk working in an unsafe situation: Abandoning patients is unethical and could have legal consequences.
C. Assign some tasks usually performed by the additional PN to the UAP who is normally on the wing: UAPs cannot legally take on PN duties; this is unsafe.
D. Prioritize assessment of safety issues in addition to administration of daily medication: When short-staffed, prioritize safety and essential tasks to ensure client well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Consensual pupillary constriction present: This refers to both pupils constricting when light is shone in one eye, not accommodation.
B. Peripheral vision intact: Not related to this assessment; peripheral vision testing uses confrontation method.
C. Nystagmus present with pupillary focus: Nystagmus is involuntary eye movement, unrelated to accommodation response.
D. Pupils reactive to accommodation: This describes normal constriction when focusing on near objects after focusing on distant ones.
Correct Answer is A
Explanation
A. Obtain a specimen of urethral drainage for culture:
Symptoms suggest possible gonorrhea or chlamydia; culture needed for diagnosis and treatment guidance.
B. Identify all sexual partners in the last four days:
Partner notification is important but follows confirmed diagnosis.
C. Observe the perineal area for a chancroid-like lesion:
Chancroid presents differently; symptoms point to urethritis.
D. Assess for perineal itching, erythema, and excoriation:
These are signs of fungal infection or dermatitis, not primary concern here.
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