An ulcerated foot peronet (FP) is to be implemented. The UAPs state they have not yet been educated on this before charging assignments.
What action should the nurse take first?
Send the UAP to be educated on how to care for a foot ulcer.
Advise the UAP to wear gloves when caring for the FP.
Instruct the UAP to start with basic wound care precautions.
Ask the UAP which action they would take first and state why.
The Correct Answer is A
It is important for the UAP to receive proper education and training on how to care for a foot ulcer before being assigned to care for a client with this condition.
Choice B is not correct because advising the UAP to wear gloves when caring for the FP is not the first action the nurse should take.
Choice C is not correct because instructing the UAP to start with basic wound care precautions is not the first action the nurse should take.
Choice D is not correct because asking the UAP which action they would take first and stating why is not the first action the nurse should take.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Charting by exception means that the nurse only documents findings that deviate from the established norm or expected outcome.
In this case, the nurse should document the assessment that is not within normal limits, which is “Basilar lung sounds that are diminished in the left lung.”
Choice B is not the answer because contraction of the left pupil when light shines in the right eye is a normal finding known as consensual pupillary response.
Choice C is not the answer because capillary refill of 2 seconds in the lower right foot is a normal finding.
Choice D is not the answer because active bowel sounds in the lower right quadrant are a normal finding.
Correct Answer is C
Explanation
This response shows that the nurse is willing to listen and provide support to the client.
It also allows the client to decide if they want to talk and share their feelings.
Choice A is not correct because it is not the most therapeutic response.
While it does encourage the client to talk about their visit with their significant other, it does not show that the nurse is willing to listen and provide support.
Choice B is not correct because it is not the most therapeutic response.
While it does acknowledge that the client may be feeling lonely, it does not show that the nurse is willing to listen and provide support.
Choice D is not correct because it is not the most therapeutic response.
While it does encourage the client to talk about their visit, it does not show that the nurse is willing to listen and provide support.
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