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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "With whom have you shared your feelings?": While this question encourages emotional expression, it is more appropriate once the client is calm and ready to discuss coping strategies. Immediate emotional support is needed first.
B. "Are you having any difficulty focusing at work?": Asking about work performance is not the priority when the client is currently overwhelmed by anxiety and struggling with basic self-care. Stabilizing the client emotionally is more urgent.
C. "Would you like me to sit with you for a while?": Offering presence and emotional support helps the client feel safe and less isolated during intense anxiety. This immediate action builds trust, reduces anxiety, and prepares the client for further assessment later.
D. "Have you experienced changes in your life recently?": Life changes are important to explore, but first the client needs reassurance and stabilization. Once the client is calmer, deeper assessment about life stressors can be conducted more effectively.
Correct Answer is C
Explanation
A. Wash around the catheter insertion site with soap and water: A condom catheter does not involve an insertion site into the urethra. This action applies to indwelling urinary catheters, not external devices like a condom catheter.
B. Cleanse around the condom with an antibacterial cleansing agent: Cleaning around the condom itself does not address hygiene properly. The condom must be removed to thoroughly cleanse the skin underneath and prevent moisture buildup and skin breakdown.
C. Remove the condom and cleanse the penis with soapy water: Removing the condom daily and gently cleaning the penis with mild soapy water helps maintain hygiene, reduces the risk of skin irritation, and prevents infection, which are key aspects of proper condom catheter care.
D. Loosen the condom and apply an antibacterial ointment: Applying ointment under a condom catheter can create a moist environment that promotes bacterial growth and skin breakdown. Proper hygiene focuses on cleansing and keeping the skin dry and intact.
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