The RN overbears the nurses' aide speaking in a harsh tone to a client with early Alzheimer's memory loss. Which statement should the EN make to begin addressing this issue?

“Do you think it would be a good idea to have an in-service on dealing with Alzheimer's patients?”

“You must remember to watch your tone of voice with clients. Someone might overhear."

“I have decided to reassign that client to another aide."

“I am concerned about your conversation with the client. It sounded short and impatient”

Answer and Explanation

The Correct Answer is D

A.   While suggesting an in-service could be beneficial in the long run, it is not an immediate or direct approach to addressing the specific behavior observed. This statement deflects from the issue at hand and may not convey the urgency needed in correcting the aide's behavior.
B.   This statement is somewhat vague and could come across as patronizing or defensive. While it points out the need to be mindful of tone, it does not specifically address the emotional impact of the aide’s behavior on the client or acknowledge the situation effectively. It focuses on appearance rather than the well-being of the patient.
C.   This approach does not address the underlying issue of the aide's behavior and may create a confrontational or punitive atmosphere. It can also foster resentment rather than promote learning and improvement. It's essential to address behaviors directly instead of merely reassigning responsibilities.
D.   This statement is direct and addresses the specific behavior observed. It expresses concern without being accusatory and opens a dialogue about the aide’s communication style. This approach encourages reflection and offers the aide an opportunity to discuss and understand how their tone may affect clients, especially those with cognitive impairments like Alzheimer's.

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Correct Answer is A

Explanation

A. An oncology nurse is a licensed nurse who is knowledgeable about blood transfusions and patient safety protocols. They are qualified to double-check the blood label against the client ID bracelet, as they understand the importance of this process in preventing transfusion reactions.
B. Assistive personnel (like nursing assistants or aides) typically do not have the training or authority to perform safety checks on blood products. They are generally involved in basic care tasks and do not have the necessary knowledge to verify blood transfusion details.
C. While phlebotomists are trained in drawing blood and may understand some aspects of blood work, they typically do not have the authority or training to verify blood products for transfusion. This task requires nursing judgment and knowledge of patient safety protocols.
D. A senior nursing student may have some knowledge of blood transfusion protocols, but they typically do not have the full licensure or experience of a registered nurse. While they may assist with many tasks, they should not be responsible for critical safety checks like verifying blood products for transfusion without supervision from a licensed nurse

A. Ensuring that a signed surgical consent form was completed B. Assessing the current health status of the client C. Explaining the operative procedure, risks, and benefits D. Reviewing preoperative laboratory test results

Correct Answer is C

Explanation

A. While nurses can verify that a consent form is signed, they do not typically have the authority to ensure it is completed correctly or to explain the details of the procedure, which is the responsibility of the surgeon. The nurse's role is to ensure the client understands the procedure and has had the opportunity to ask questions, but they do not explain the surgery itself in detail.
B. This is a key responsibility of the nurse. Assessing the client's health status before surgery is critical for identifying any potential risks or issues that may affect the surgical outcome. This includes physical assessments and reviewing the client’s medical history.
C. This action is considered outside the nurse's responsibilities. The explanation of the operative procedure, risks, and benefits is typically the responsibility of the surgeon or the physician performing the surgery. Nurses may provide general information or support but are not the ones who explain the specifics of the surgical procedure.
D. Nurses are responsible for reviewing and interpreting preoperative laboratory results to ensure the client is medically ready for surgery. This review helps identify any abnormalities that may need to be addressed before proceeding with the surgical procedure.

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The RN overbears the nurses' aide speaking in a harsh tone to a client with early Alzheimer's memory loss. Which statement should the EN make to begin addressing this issue?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is selecting a qualified staff member to double check a blood label with a client ID bracelet prior to infusing a unit of blood. The nurse should identify that which of the following persons is qualified?

Correct Answer is A

Explanation

A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse's responsibilities?

Correct Answer is C

Explanation

A nurse is admitting a client who has sickle cell anemia. Which of the following manifestations should the nurse expect with this condition?(Select All that Apply.)

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A nurse is preparing to administer morphine 4 mg IV bolus to a client who reports pain. Available is morphine 10 mg/mL. Which of the following actions should the nurse take?

Which term best describes sickle cell disease?

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In which situation would the nurse be justified in overriding a client's right to confidentiality?

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

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