An assistive personnel (AP) comes to work with a new set of artificial nails. The nurse takes the AP to a private location to discuss the issue. Which of the following statements by the nurse is appropriate?
"I want you to review the facility's policy on personal attire before you begin the shift."
"There is a higher risk of infection for our clients associated with artificial nails."
"Why would you wear artificial nails to work when you know it's against the rules?"
"You should know that artificial nails have a very unprofessional appearance."
The Correct Answer is B
Rationale:
A. "I want you to review the facility's policy on personal attire before you begin the shift." does not address the specific concern regarding infection risk related to artificial nails.
B. "There is a higher risk of infection for our clients associated with artificial nails." provides a clear and factual explanation of why artificial nails are not appropriate, focusing on client safety rather than personal appearance or policy.
C. "Why would you wear artificial nails to work when you know it's against the rules?" is confrontational and does not address the issue in a constructive manner.
D. "You should know that artificial nails have a very unprofessional appearance." focuses on appearance rather than the potential risk to clients' health.
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Correct Answer is B
Explanation
Rationale:
A. Acute pancreatitis may require specialized medical management that might be beyond the RN’s experience from a different unit.
B. A client one-day postoperative following a total abdominal hysterectomy is appropriate for an RN with general surgical experience, as it involves standard postoperative care.
C. A client who had a stroke may require more specialized neuro care and assessment than the RN might be familiar with.
D. Terminal end-stage renal disease requires specialized care and experience in managing complex chronic conditions.
Correct Answer is ["A","C","E"]
Explanation
Rationale:
A. Applying an ambulation alarm can help alert staff if the client tries to move independently, thus reducing the risk of falls.
B. Restraints should only be used as a last resort and require a physician’s order. They should not be used routinely for fall prevention.
C. Instructing the client in the use of the call light empowers them to request assistance, which can help prevent falls.
D. Raising all side rails can be considered a restraint and may increase the risk of falls or injury. It is not a recommended practice for fall prevention.
E. Checking on the client hourly ensures ongoing monitoring and timely intervention if needed, which is effective in preventing falls.