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 A
Explanation
Rationale:
A. Encouraging clients to receive an annual flu immunization is a cost-effective measure to prevent illness and reduce overall healthcare costs.
B. Waiting to empty a drainable colostomy until it is three-fourths full might not be the best practice for client comfort or prevention of leakage.
C. Recommending sterile technique for home care is important for infection prevention but not necessarily a cost-reduction strategy in the healthcare setting.
D. Delegating closed irrigation to AP may not be appropriate if it involves tasks beyond their scope of practice and does not directly relate to cost reduction.
Correct Answer is B
Explanation
Rationale:
A. Fill the bath basin with tap water that is 39° C (102.2° F) is too warm for bathing; the recommended water temperature is typically around 37°C (98.6°F) to prevent burns or discomfort.
B. Pull the curtain around the client's bed ensures privacy for the client during the bath, which is important for maintaining dignity and confidentiality.
C. Wash the client's arms and hands first is not necessarily the first step; typically, washing the face and then moving to the rest of the body is preferred.
D. Use a washcloth to wipe the client's eyes from the outer canthus to the inner canthus is incorrect as it should be done from the inner canthus to the outer canthus to avoid spreading any discharge across the eye.