Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse observes an assistive personnel (AP) empty an indwelling urinary catheter drainage bag while not wearing gloves. Which of the following interventions should the nurse take first?
A. Provide the AP with a copy of the unit's policy.
Providing the AP with a copy of the unit's policy may be done but is not the first step. Direct communication is important for immediate feedback.
B. Notify the charge nurse about the incident.
Notifying the charge nurse is appropriate but may not be the first action when direct communication with the AP can address the issue.
C. Talk with the AP about the technique used.
Talking with the AP about the technique used is the first and immediate action to address the observed lapse in infection control practices.
D. Conduct an in-service on standard precautions.
Conducting an in-service on standard precautions is a broader intervention and may be considered after addressing the immediate concern with the AP.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Fundamentals Proctored Exam 6. Take the full exam now
Full Explanation
A. Providing the AP with a copy of the unit's policy may be done but is not the first step. Direct communication is important for immediate feedback.
B. Notifying the charge nurse is appropriate but may not be the first action when direct communication with the AP can address the issue.
C. Talking with the AP about the technique used is the first and immediate action to address the observed lapse in infection control practices.
D. Conducting an in-service on standard precautions is a broader intervention and may be considered after addressing the immediate concern with the AP.
Similar Questions
A nurse is caring for a client who has a temperature of 38.7° C (101.7° F). Which of the following nursing interventions is appropriate?
A. Keep the client's bed linens dry.
Keeping the client's bed linens dry helps maintain the client's comfort and prevents chilling associated with damp linens.
B. Apply an alcohol-water solution to the client's skin.
Applying an alcohol-water solution may increase evaporative cooling and is not a standard intervention for fever.
C. Encourage the client to drink 1,500 mL of fluid per day.
Encouraging increased fluid intake is appropriate to promote hydration, but the specific amount should be individualized based on the client's condition and needs.
D. Apply ice packs to the groin.
Applying ice packs to the groin is not a recommended site for cooling and may cause discomfort. The choice of cooling measures should be appropriate and based on the healthcare provider's orders or institutional protocols.
Full Explanation
A. Keeping the client's bed linens dry helps maintain the client's comfort and prevents chilling associated with damp linens.
B. Applying an alcohol-water solution may increase evaporative cooling and is not a standard intervention for fever.
C. Encouraging increased fluid intake is appropriate to promote hydration, but the specific amount should be individualized based on the client's condition and needs.
D. Applying ice packs to the groin is not a recommended site for cooling and may cause discomfort. The choice of cooling measures should be appropriate and based on the healthcare provider's orders or institutional protocols.
42. A nurse is providing teaching to a client who uses tobacco products. (Move the steps that the nurse should take into the box on the right, placing them in the correct order of performance. All steps must be used.)
A. Teach the client cessation strategies.
B. Develop a cessation plan with the client.
C. Assist the client in modifying the plan if necessary.
D. Ask about the type of tobacco product used.
Full Explanation
Correct order: D A B C
D. Ask about the type of tobacco product used.
A. Teach the client cessation strategies.
B. Develop a cessation plan with the client.
C. Assist the client in modifying the plan if necessary.
A parish nurse is developing a program of educational sessions to meet the needs of the older adults in the congregation. Which of the following is the best approach to enhance development of suitable programs?
A. Survey the target population to determine topics of interest related to health issues.
Surveying the target population helps identify specific interests and health concerns, ensuring that the programs are tailored to the needs of older adults.
B. Determine availability of health care providers from the community to provide the presentations.
Determining the availability of health care providers is important but may not directly address the specific interests or concerns of the older adults.
C. Base the programs on their developmental stage emphasizing changes in function and physical capabilities.
Basing the programs on their developmental stage is important, but surveying the population allows for a more comprehensive understanding of their diverse needs and preferences.
D. Review the Healthy People 2020 Objectives to identify health issues affecting older adults.
Reviewing Healthy People 2020 Objectives is a valuable resource but may not capture the specific interests or concerns of the local population.
Full Explanation
A. Surveying the target population helps identify specific interests and health concerns, ensuring that the programs are tailored to the needs of older adults.
B. Determining the availability of health care providers is important but may not directly address the specific interests or concerns of the older adults.
C. Basing the programs on their developmental stage is important, but surveying the population allows for a more comprehensive understanding of their diverse needs and preferences.
D. Reviewing Healthy People 2020 Objectives is a valuable resource but may not capture the specific interests or concerns of the local population.