A nurse is delegating the collection of urinary output to an assistant. What should the nurse tell the assistant to do while measuring the urine?

Correct Answer: D

Rationale: The correct answer is D) Wear gloves when handling a patient's urine. This is important because wearing gloves helps prevent the spread of infection and reduces the risk of exposure to body fluids, ensuring proper infection control practices are followed. Handling bodily fluids without gloves can lead to the transmission of pathogens and pose a health risk to both the assistant and the patient. Option A) Compare the amount of output with intake is incorrect because this is not relevant to the task of measuring urinary output. It is important to monitor intake and output but not during the actual measurement process. Option B) Using a clean measuring cup for each voiding is incorrect because while cleanliness is crucial, using a new cup for each voiding may not be necessary and can be wasteful. Properly cleaning and disinfecting the measuring cup between uses would be sufficient. Option C) Telling the patient to wash the urethra before voiding is incorrect as it is not the assistant's responsibility to instruct the patient on personal hygiene practices. This task is beyond the scope of measuring urinary output and falls under the domain of nursing care. Educationally, understanding the importance of infection control measures when handling bodily fluids is crucial for healthcare workers to ensure the safety of both themselves and patients. Reinforcing proper hand hygiene and the use of personal protective equipment like gloves in such scenarios is essential in preventing the spread of infections in healthcare settings.

Correct Answer: A

Rationale: In the context of maintaining a safe working environment, option A is the correct choice. Providing training and personal equipment for an employee's job role is crucial for ensuring that employees are aware of safety protocols and have the necessary tools to protect themselves from workplace hazards. Choosing option B, asking employees to provide their own personal protective equipment, is not ideal as it shifts the responsibility onto the employees, potentially leading to gaps in safety compliance and putting individuals at risk if they do not have access to or cannot afford the required equipment. Option C, providing employees with paid lunch and break times, while important for employee well-being, does not directly address the issue of ensuring a safe working environment. Morale-boosting initiatives are valuable but should not be conflated with safety measures. Option D, providing travel arrangements to and from the workplace, is also unrelated to the primary concern of maintaining a safe working environment within the workplace itself. Educationally, this question emphasizes the importance of employer responsibility in ensuring workplace safety through proper training and provision of necessary equipment. It highlights the need for a proactive approach to safety rather than relying on reactive or external factors. Understanding this distinction is vital for both employers and employees to prioritize safety in the workplace.

Correct Answer: C

Rationale: In the context of patient-centered care in addiction practice, it is crucial that all individuals within a healthcare setting actively contribute to maintaining a safe environment. The correct answer, option C ("Anyone who notices it"), is the most appropriate choice for several reasons. Firstly, promoting a culture of safety and accountability relies on the collective responsibility of all staff members to report unsafe working practices promptly. By empowering everyone to speak up, potential hazards can be addressed swiftly, reducing the risk of accidents and safeguarding both patients and healthcare professionals. Options A, B, and D are incorrect for several reasons. Option A ("Only people who have been trained") limits reporting to a select few, potentially delaying intervention in critical situations. Option B ("Your health and safety rep only") places the burden solely on designated representatives, overlooking the importance of immediate action by all staff members. Option D ("Your line manager only") centralizes reporting through hierarchical channels, potentially leading to delays and hindered communication. From an educational standpoint, understanding the importance of reporting unsafe practices aligns with core principles of patient-centered care, where patient safety and well-being are paramount. By emphasizing the role of every individual in maintaining a safe working environment, healthcare professionals can collectively contribute to a culture of safety and continuous improvement within addiction practice settings. Encouraging open communication and reporting not only mitigates risks but also fosters a collaborative approach to ensuring high-quality care delivery.

Correct Answer: A

Rationale: The correct answer, option A) Water, is not suitable for extinguishing fires involving electricity due to its conductive properties. Water can actually worsen the situation by spreading the electrical current and putting the user at risk of electric shock. It is critical to never use water on electrical fires to prevent harm to yourself and others. Option B) Carbon dioxide is a suitable extinguisher for electrical fires as it is non-conductive and effective in smothering the fire by displacing oxygen. This makes it a safer choice compared to water. Option C) Fire blanket is primarily used to extinguish small fires by smothering them. While it can be effective for certain types of fires, it is not the ideal choice for electrical fires where cutting off the electrical supply is crucial. Option D) Powder extinguishers can be used for various types of fires, including electrical fires. However, they can create a messy residue that can interfere with electrical components if not cleaned properly after use. Educationally, understanding the appropriate fire extinguisher for different types of fires is crucial for ensuring safety in emergency situations. This knowledge can prevent accidents, injuries, and property damage. It is essential to always follow safety protocols and use the correct extinguishing agent to effectively deal with fires while minimizing risks.

Correct Answer: C

Rationale: The correct answer is C because the symptoms described align most closely with a suspected dislocated joint. Swelling is a common sign of joint dislocation due to inflammation and fluid accumulation in the affected area. Discolouration of the skin may occur as a result of blood vessel damage during the dislocation. Tenderness around the site of injury is expected as the surrounding tissues are likely to be irritated or damaged. Loss of normal function is a key indicator of a dislocated joint as it impairs movement in the affected area. Tingling or numbness may also be present due to nerve compression or damage from the dislocation. Option A is incorrect as projection of bone through the skin is typically associated with a compound fracture rather than a dislocated joint. High blood loss is not a typical symptom of a dislocated joint. Option B is incorrect because confused behavior and vomiting are not typically associated with a dislocated joint. These symptoms may indicate a more serious head injury or internal issue rather than a joint dislocation. Option D is incorrect as inability to bear weight and restricted movement are more indicative of a fracture rather than a dislocated joint. Rapid pulse and blood loss are not common symptoms of a dislocated joint but may be seen in cases of severe trauma or internal bleeding. Educationally, understanding the specific symptoms of a dislocated joint is crucial for healthcare providers to accurately assess and manage such injuries. Recognizing these symptoms promptly can lead to appropriate treatment and prevent further complications for the patient.