An unlicensed assistive personnel (UAP) who is working on a skilled nursing unit is diagnosed with hepatitis A (HVA). Two weeks later, a nurse complains of headache, nausea, anorexia, arthralgia, and low-grade fever. Which action should the nurse-manager take next?

Observe the nurse for jaundice and icterus sclera.

Review the immunization status of all unit employees.

Refer the nurse to employee health for serological testing.

Post an employee notice of the outbreak of HVA on the unit.

Answer and Explanation

The Correct Answer is C

Choice A reason: Observing the nurse for jaundice and icterus sclera is not the best action for the nurse-manager to take. These are signs of liver damage that may occur in the later stages of HVA infection. The nurse-manager should not rely on the physical appearance of the nurse to diagnose or rule out HVA. The nurse-manager should also respect the privacy and dignity of the nurse and not make any assumptions based on the skin or eye color.

Choice B reason: Reviewing the immunization status of all unit employees is an important action for the nurse-manager to take, but not the best one. The nurse-manager should ensure that all the staff are vaccinated against HVA or have received immune globulin if exposed. However, this action does not address the immediate needs and concerns of the nurse who is symptomatic and may be infected. The nurse-manager should also consider the possibility of other causes of the nurse's symptoms besides HVA.

Choice C reason: Referring the nurse to employee health for serological testing is the best action for the nurse-manager to take. The nurse-manager should facilitate the prompt and accurate diagnosis and treatment of the nurse who is symptomatic and may have HVA. The nurse-manager should also follow the infection control and reporting protocols of the facility and the health department. The nurse-manager should also provide support and counseling to the nurse and the staff.

Choice D reason: Posting an employee notice of the outbreak of HVA on the unit is not the best action for the nurse-manager to take. The nurse-manager should inform and educate the staff about the risk and prevention of HVA, but not in a way that may cause panic or stigma. The nurse-manager should also protect the confidentiality and rights of the nurse and the UAP who are diagnosed with HVA. The nurse-manager should also consult with the infection control and quality improvement teams before posting any notice.

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Correct Answer is C

Explanation

Choice A reason: A practical nurse is qualified to transport a postoperative client to the rehabilitation unit, as long as they have the necessary equipment and report any changes in the client's condition to the primary nurse.

Choice B reason: A practical nurse (PN) is competent to monitor the blood pressure of a client with hypertension, as long as they follow the prescribed treatment plan and report any abnormal findings to the primary nurse.

Choice C reason: An unlicensed assistive personnel (UAP) is not authorized to check a client for fecal impaction, as this is a nursing assessment that requires specialized knowledge and skills. The charge nurse should intervene and assign this task to a registered nurse or a practical nurse.

Choice D reason: A graduate nurse is capable of obtaining a unit of packed red blood cells from the blood bank, as long as they have the proper identification and documentation. They should also be supervised by an experienced nurse when administering the blood transfusion.

A. How many departments can use this equipment? B. Can the equipment be updated each year? C. Is the cost of equipment reasonable? D. Will the equipment require annual repair?

Correct Answer is C

Explanation

Choice A reason: How many departments can use this equipment is not the most important question to consider when analyzing the cost-benefit for this piece of equipment. This question may be relevant for determining the utilization and availability of the equipment, but it does not directly address the cost or the benefit of the equipment.

Choice B reason: Can the equipment be updated each year is not the most important question to consider when analyzing the cost-benefit for this piece of equipment. This question may be relevant for determining the longevity and compatibility of the equipment, but it does not directly address the cost or the benefit of the equipment.

Choice C reason: Is the cost of equipment reasonable is the most important question to consider when analyzing the cost-benefit for this piece of equipment. This question directly addresses the cost of the equipment and compares it to the expected benefit of the equipment. A reasonable cost means that the equipment is worth the investment and will provide a positive return on value.

Choice D reason: Will the equipment require annual repair is not the most important question to consider when analyzing the cost-benefit for this piece of equipment. This question may be relevant for determining the maintenance and reliability of the equipment, but it does not directly address the cost or the benefit of the equipment.

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An unlicensed assistive personnel (UAP) who is working on a skilled nursing unit is diagnosed with hepatitis A (HVA). Two weeks later, a nurse complains of headache, nausea, anorexia, arthralgia, and low-grade fever. Which action should the nurse-manager take next?

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Naxlex Comprehensive Predictor Exams

Which staff assignment, made by the primary nurse, requires the most immediate follow-up action by the charge nurse on a medical unit?

Correct Answer is C

Explanation

A group of nurse managers is asked to engage in a needs assessment for a piece of equipment that will be expensed to the organization's budget. Which question is most important to consider when analyzing the cost-benefit for this piece of equipment?

Correct Answer is C

Explanation

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