After completion of mandatory counseling, the impaired nurse has asked nursing administration to allow return to work. When the nurse administrator approaches the charge nurse with the impaired nurse's request, what action is best for the charge nurse to take?- Nurselytic

Question 1 of 5

After completion of mandatory counseling, the impaired nurse has asked nursing administration to allow return to work. When the nurse administrator approaches the charge nurse with the impaired nurse's request, what action is best for the charge nurse to take?

A. Ask to meet with the impaired nurse's therapist before allowing the nurse back on the unit B. Meet with staff to assess their feelings about the impaired nurse's return to the unit C. Since treatment is completed, assign the nurse to routine RN responsibilities D. Allow the impaired nurse to return to work and monitor medication administration

Correct Answer: D

Rationale: Allowing the impaired nurse to return to work with monitoring is the best course of action in this scenario. By monitoring the impaired nurse's medication administration, the charge nurse can ensure safe practice while supporting the nurse's reintegration into the work environment. Meeting with the therapist (Choice A) is not within the charge nurse's scope of responsibility and may violate the impaired nurse's privacy. Assessing staff feelings (Choice B) is important but should be done by leadership, not the charge nurse. Simply assigning routine duties (Choice C) may not address the need for monitoring and support required in this situation.

Question 2 of 5

While assessing an older client's fall risk, the client tells the nurse that they live at home alone and have never fallen. What action should the nurse take?

A. Place the client on a high fall risk protocol solely based on their age B. Continue to obtain the client data needed to complete the fall risk survey C. Inform the client about falls occurring more often at the hospital than at home D. Record a minimal risk for falls based on the client's statement alone

Correct Answer: B

Rationale: The correct action for the nurse in this scenario is to continue obtaining client data to complete the fall risk survey. This approach will help in conducting a comprehensive assessment of the client's risk factors. Placing the client on a high fall risk protocol solely based on age without a thorough assessment is premature and can lead to unnecessary interventions. Informing the client about falls in the hospital does not address the client's individual risk factors and is not relevant to the current assessment. Recording a minimal risk for falls based only on the client's statement may overlook other potential risk factors that need to be evaluated.

Question 3 of 5

A client with diabetes mellitus tells the nurse that she uses cranberry juice to help prevent urinary tract infection. What instruction should the nurse provide?

A. Ensure to drink sugar-free cranberry juice B. Drinking cranberry juice does not prevent infection C. Cranberries do not affect insulin levels D. Excessive cranberry juice consumption can lead to constipation

Correct Answer: B

Rationale: The correct answer is B: Drinking cranberry juice does not prevent urinary tract infections and should not be relied upon as a preventive measure. While cranberry juice is often associated with preventing UTIs, there is limited scientific evidence to support this claim. Choice A is incorrect because the sugar content in cranberry juice is not the main concern when discussing its role in preventing UTIs. Choice C is incorrect as there is no significant evidence to suggest cranberries affecting insulin levels. Choice D is incorrect as constipation is not a typical side effect of consuming cranberry juice; however, excessive consumption may lead to gastrointestinal discomfort.

Question 4 of 5

An adult male with a 6 cm thoracic aneurysm is being prepared for surgery. The nurse reports to the healthcare provider that the client's blood pressure is 220/112 mmHg, so an antihypertensive agent is added to the client's IV infusion. Which finding warrants immediate intervention by the nurse?

A. Reports a tearing, sharp pain between his shoulder blades B. Blood pressure reading of 200/100 mmHg 15 minutes later C. Rose-colored urine draining from the urinary catheter D. Sinus tachycardia with frequent premature ventricular beats (PVC)

Correct Answer: A

Rationale: A tearing, sharp pain between the shoulder blades may indicate aortic dissection, a serious complication requiring immediate intervention. This symptom is highly concerning in a patient with a thoracic aneurysm. Choice B is not as urgent as the pain symptom described in choice A. Choice C could indicate hematuria but is not as critical as the potential aortic dissection in choice A. Choice D, sinus tachycardia with PVCs, may be related to the patient's condition but is not as indicative of an immediate life-threatening situation as the tearing, sharp pain indicative of aortic dissection.

Question 5 of 5

The mother of a school-age child calls the school to ask when her daughter can return to school after treatment for Pediculosis capitis. What is the nurse's best response?

A. When all live lice are eliminated by the treatment B. Two weeks after the last treatment C. As soon as the itching stops D. After the treatment kills all the live lice

Correct Answer: D

Rationale: The correct answer is 'After the treatment kills all the live lice.' The child can return to school once all live lice are eliminated to prevent the spread of Pediculosis capitis. This is essential as live lice are highly contagious. Choices A, B, and C are incorrect. Waiting for the itching to stop or for an epidemic to subside does not ensure that all live lice are eradicated, which is crucial to prevent reinfestation and transmission.

Nurselytic

HESI LPN

HESI LPN

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