The practical nurse (PN) observes a newly hired PN who is preparing to open an ampule as seen in the picture. Which action should the PN take?
Encourage the newly hired PN to continue with the skill by gently snapping the ampule open.
Call the charge nurse to the medication
Advise the newly hired PN to reposition the ampule
Take the ampule from the newly hired PN
The Correct Answer is C
A. Encourage the newly hired PN to continue with the skill by gently snapping the ampule open: Encouraging continuation without correcting improper technique can lead to glass injury or contamination of the medication.
B. Call the charge nurse to the medication: Involving the charge nurse may be necessary if an incident occurs, but it is not the first action in this case. Immediate, direct correction of unsafe technique is within the observing PN’s responsibility to prevent harm and ensure proper aseptic practice.
C. Advise the newly hired PN to reposition the ampule: The safest initial action is to instruct the new PN to reposition the ampule correctly, typically by using a protective gauze or alcohol swab and snapping it away from the body. This prevents cuts from glass shards and maintains sterile handling of the solution.
D. Take the ampule from the newly hired PN: Physically taking the ampule could startle the new PN, increasing the risk of breakage or injury. Providing calm verbal instruction to correct the position is safer and promotes learning through guided supervision.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Remove ear wax from the device's surface: Cleaning visible ear wax from the hearing aid prevents blockage of sound and maintains device function. The UAP should use a soft, dry cloth or brush to gently remove debris without using liquids or inserting objects into the device.
B. Keep the battery door closed during storage: The battery door should remain open when not in use to preserve battery life and prevent moisture buildup. Keeping it closed may cause corrosion or battery drainage.
C. Store the device on window sill to prevent loss: Placing the device on a window sill exposes it to sunlight and temperature fluctuations, which can damage internal components. The hearing aid should be stored in a dry, safe, and designated location.
D. Observe and report any ear drainage after removing the device: Ear drainage may indicate infection, irritation, or injury caused by the hearing aid. Reporting this promptly allows timely evaluation and prevents complications or worsening of ear conditions.
E. Verify that the device is labeled with client's identification: Labeling ensures the correct device is returned to the right resident, preventing mix-ups in shared living facilities where many residents use similar hearing aids.
Correct Answer is A
Explanation
A. Is anyone hurting you?: This direct question addresses the possibility of abuse clearly and sensitively. Observed bruising patterns and minimal eye contact are potential indicators of intimate partner violence, making this the most appropriate and immediate inquiry.
B. Do you want to see a social worker?: Offering support is important, but it assumes the client has already disclosed abuse. Without first assessing the situation, this approach may not elicit necessary information or provide immediate protection.
C. How is your marital relationship?: Asking generally about the relationship may be too vague to uncover abuse. Clients experiencing violence may not recognize or disclose abusive behavior without direct questioning.
D. Is there something you want to tell me?: While open-ended questions can encourage sharing, this phrasing may be too indirect given the clear physical signs of potential abuse. Direct questioning is needed to ensure the client’s safety.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today