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","B"]
Explanation
A. Transport a urine culture sample to the laboratory: Transporting specimens is within the UAP’s scope of practice. It involves safe handling and timely delivery but does not require clinical judgment or assessment skills, making it appropriate to delegate.
B. Empty bedside drainage unit for a client with indwelling urinary catheter: UAPs are trained to empty catheter drainage bags and record output. This task is routine, does not involve sterile technique beyond standard precautions, and falls within their competency.
C. Teach the client with fluid restrictions how to measure urine output: Teaching requires assessment, explanation, and evaluation of client understanding, which are nursing responsibilities. The UAP cannot independently provide education or evaluate comprehension.
D. Irrigate an indwelling urinary catheter for a client with bladder suspension: Catheter irrigation is a sterile, invasive procedure requiring clinical judgment and monitoring for complications. This task must be performed by licensed nursing personnel, not a UAP.
E. Obtain a post-voided residual (PVR) volume: Measuring PVR often involves using a bladder scanner and interpreting results, requiring assessment skills and clinical decision-making. This is outside the UAP’s scope and must be performed by a licensed nurse.
Correct Answer is D
Explanation
A. Move the client who is knocking on the exit door and trying to get out: While this client’s behavior requires supervision to prevent elopement, there is no immediate physical harm, so it is not the highest priority.
B. Remind a confused client of today's date and the time lunch will be served: Reorientation is important for cognitive support, but it does not involve immediate risk of injury.
C. Talk to a client who is wandering the halls looking in everyone's room: Wandering poses some safety risks, but unless the client is in immediate danger, it is not as urgent as assisting a client on the floor.
D. Assist a client who is lying on the dayroom floor to sit in the chair: A client lying on the floor may have fallen and could have injuries or be at risk for further harm. Immediate attention is needed to assess for injury, prevent complications, and provide safe positioning.
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