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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?

A.

"I want you to review the facility's policy on personal attire before you begin the shift."

B.

"There is a higher risk of infection for our clients associated with artificial nails."

C.

"Why would you wear artificial nails to work when you know it's against the rules?"

D.

"You should know that artificial nails have a very unprofessional appearance."

Answer and Explanation

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. "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.

Correct Answer is D

Explanation

Rationale:

A. A red rash is concerning but not typically an immediate life-threatening condition compared to other options.

B. Severe flank pain may indicate a serious condition but is not as immediately critical as a life-threatening injury.

C. Multiple fractures can be serious but are generally less urgent compared to critical injuries involving major arteries.

D. A punctured femoral artery is a life-threatening emergency requiring immediate intervention to prevent massive blood loss and ensure survival.

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