COMPREHENSIVE PRACTICE B WRATIONALES 150QUESTION AND

COMPREHENSIVE PRACTICE B W/RATIONALES 150QUESTION AND

ANSWERS LATEST UPDATE GRADED A+

A charge nurse in a long-term care facility notices an assistive personnel's (AP) repeated failure to provide oral care for clients. Which of the following actions should the charge nurse take?

• Delegate the clients' oral care to another AP.
• Have the AP sign a written warning immediately.
• Discuss this behavior with the AP while reinforcing expectations.
• Suspend the AP for 3 days pending further investigation. -

CORRECT ANSWERS Discuss this behavior with the AP while reinforcing expectations.*The charge nurse should discuss this behavior with the AP and reinforce expectations moving forward. Evaluation of the AP's performance is a part of the nurse's delegation process. Teaching and counseling the AP about behaviors and expectations is an important component of leadership.A charge nurse is observing a newly licensed nurse apply sterile gloves.Which of the following actions by the newly licensed nurse demonstrates sterile technique?

• Placing the glove package just below their waist level
• Putting a glove on their dominant hand first
• Unrolling the cuff of the glove up their wrist

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COMPREHENSIVE PRACTICE B W/RATIONALES 150QUESTION AND

ANSWERS LATEST UPDATE GRADED A+

• Holding both gloved hands close to their body - CORRECT

ANSWERS putting a glove on their dominant hand first.*The nurse is demonstrating sterile technique when they put a glove on their dominant hand first. Using the dominant hand to apply the second glove helps prevent contamination because the nurse's dominant hand is more likely to have better dexterity than their nondominant hand.A charge nurse on a long-term care unit is preparing to delegate tasks to a licensed practical nurse (LPN) and an asistive personnel (AP). Which of the following tasks should the charge nurse delegate to the LPN?

• Teaching a client who has a new diagnosis of diabetes mellitus how

to self-administer insulin

• Creating a plan of care for a newly admitted client
• Obtaining a stool specimen from a client who has ulcerative colitis
• Administering an initial NG tube feeding to a client who had a stroke
• CORRECT ANSWERS Administering an initial NG tube feeding to

a client who had a stroke *It is within the LPN's scope of practice to administer an initial NG tube feeding to a client who had a stroke. Because this task requires use of the nursing process, it is outside the range of function for an AP.Therefore, the LPN should expect to be assigned this task.

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COMPREHENSIVE PRACTICE B W/RATIONALES 150QUESTION AND

ANSWERS LATEST UPDATE GRADED A+

A community health nurse is helping to reinforce teachng about hepatitis A with a group of employees at a childcare facility. Which of the following characteristics should the nurse identify as an external factor that can impede learning for the participants?

• Presence of anxiety
• Developmental ability
• Poor lighting in the learning setting
• Reduced belief in the ability to learn - CORRECT ANSWERS Poor

lighting in the learning setting *The nurse should recognize that the physical learning setting is an external factor that can affect the participants' learning ability.Environmental factors that affect learning include lighting, comfort of seating, and the temperature of the room.A home health nurse is caring for an older adult client who just returned home following a total knee arthroplasty. Which of the following actions should the nurse take first?

• Talk to the client about developing a family support system.
• Assist the client to develop attainable, short-term goals.
• Reinforce teaching with the client about how to care for a surgical

wound.

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COMPREHENSIVE PRACTICE B W/RATIONALES 150QUESTION AND

ANSWERS LATEST UPDATE GRADED A+

• Determine the client's mobility status. - CORRECT ANSWERS

Determine the client's mobility status.*The first action the nurse should take when using the nursing process is to determine the client's mobility status. The nurse should begin collecting data about the client's ability to move freely within their environment while preventing injury. The nurse should begin by placing the client in the position providing the most support, then moving in increments to positions requiring less support and higher levels of tolerance.A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which of the following supplies should the nurse plan to use for this task?

• Water-soluble lubricant
• Yankauer catheter
• Chlorhexidine gluconate
• Artificial oral airway - CORRECT ANSWERS Yankauer catheter

*A Yankauer catheter is a clean suction catheter used when performing oral and oropharyngeal suctioning to remove secretions from the client's mouth to facilitate breathing or obtain a sample for diagnostic evaluation.

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