The practical nurse (PN) is preparing to provide a change of shift report when an oncoming nurse arrives, appearing intoxicated, and who describes to another colleague about drinking all afternoon and almost forgetting to come to work. Which action should the PN take first?
Notify the nursing board.
Submit an incident report.
Email the nurse manager.
Inform the charge nurse.
The Correct Answer is D
A. Notify the nursing board: Reporting to the nursing board is necessary for ongoing professional accountability but is not the immediate first step. The priority is to ensure the safety of clients by addressing the situation within the facility first.
B. Submit an incident report: An incident report documents the event, but it should be completed after immediate concerns for client safety are addressed. It is not the first action when dealing with an impaired nurse.
C. Email the nurse manager: Emailing the nurse manager may delay the response. Immediate verbal communication with someone in a supervisory role is essential to remove the impaired nurse from client care duties without delay.
D. Inform the charge nurse: Informing the charge nurse immediately is the priority because the charge nurse has the authority to intervene quickly, ensure the impaired nurse is removed from duty, and maintain patient safety. This allows for appropriate administrative steps to follow afterward.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["31"]
Explanation
Total volume to be infused: 250 mL of tube feeding.
To be infused over 8 hours.
Calculate the infusion rate in mL per hour.
Infusion rate (mL/hour) = Total volume (mL) / Total infusion time (hours)
= 250 mL / 8 hours
= 31.25
Round to the nearest whole number: 31.
Correct Answer is C
Explanation
A. Bruising: Bruising is more commonly associated with platelet disorders or clotting deficiencies rather than low calcium levels. It does not directly relate to the neuromuscular symptoms caused by hypocalcemia.
B. Pallor: Pallor is often a sign of anemia or poor perfusion, not a specific indicator of low serum calcium levels. While important to observe, it is not the most relevant concern in hypocalcemia.
C. Tetany: Tetany, characterized by muscle cramps, spasms, and sometimes severe convulsions, is a classic symptom of hypocalcemia. Low calcium levels increase neuromuscular excitability, leading to these involuntary muscle contractions, which require immediate monitoring and intervention.
D. Jaundice: Jaundice reflects elevated bilirubin levels, typically related to liver dysfunction, not calcium imbalance. It would not be expected in a client primarily experiencing malabsorption-induced hypocalcemia.
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