TEST
A nurse is observing an AP take a client's tympanic temperature. Which of the following actions should the nurse identify as an indication that the
... [Show More] AP understands how to perform the procedure?
A. The AP points the probe posteriorly.
B. The AP positions the client facing her.
C. The AP pulls the pinna up and back.
D. The AP inserts the probe with a straightforward motion. - C. The AP pulls the pinna up and back.
TEST
A charge nurse is monitoring a group of assistive personnel AP regarding the use of gloves in contact precaution isolation. For which of the following actions by an AP should the charge nurse intervene?
a. Washes hands after removing gloves
b. Removes gloves last after other personal protective equipment
c. Pulls gloves off inside-out when task are completed
d. Changes gloves between tasks for the same client - b. Removes gloves last after other personal protective equipment
Rationale:
Donning PPE
Gown ○ Mask ○ Goggles ○ Gloves
Removing PPE
Gloves ○ Goggles ○ Gown ○ Mask
A nurse is preparing to delegate client care to an assistive personnel AP. Which of the following information should the nurse verify prior to delegation?
a. The AP's years of experience
b. The client's length of facility stay
c. The client's age
d. The AP's job description - d. The AP's job description
TEST
A charge nurse in a long-term care facility observes an assistive personnel (AP) arriving late to his shift and slurring his words. The charge nurse suspects the AP has alcohol intoxication and remove the AP from performing client care. Which of the following actions the nurse takes when reporting the incident?
A. Write a clear description of the incident.
B. Request the risk manager to follow through with the report.
C. Interview other staff members about the incident.
D. Report the in - A. Write a clear description of the incident.
Rationale:
Identify the AP behavior of concern and write with proper documentation with full detail about the suspected intoxication. Alcohol tests should not be performed through a charge nurse unless reasonable cause. Request risk manager to do alcohol testing for reasonable cause. the risk manager is the right person who is communicating with risk policies and processes for an organization. witness with risk manager. If an AP alcohol test is positive send them for rehabilitation or depend upon organization employes' policies. because AP alcohol use behavior makes the clients at risk and their job performance. This situation should be handled carefully when employees with alcohol intoxication.
TEST
A nurse is assisting with the plan of care for an older adult client who has dementia and is experiencing nocturnal confusion. Which of the following actions should the nurse take to decrease the client's risk for injury? [Show Less]