Author Question: A resident has not voided in 6 hours. Which instruction to a nursing assistant would likely ensure ... (Read 26 times)

RYAN BANYAN · **on:** Jul 17, 2018

A resident has not voided in 6 hours. Which instruction to a nursing assistant would likely ensure getting the information needed by the LPN/LVN charge nurse?

a. Watch the resident's output closely today.
b. I need to know if the resident is voiding sufficiently.
c. The resident should void at least twice during the shift in quantities of 200 ml or more.
d. Report to me immediately if the resident voids between now and 10 AM, and tell me the amount he voids. If he has not voided by 10 AM, please report this to me.

Question 2

The new nursing assistant arrived 1 hour late for duty on the second day of employment, giving the excuse of car trouble. The LPN/LVN charge nurse should

a. note the incident of tardiness in the charge nurse's personal file.
b. send a letter of reprimand to the nursing assistant.
c. give an oral reprimand to the nursing assistant.
d. arrange to terminate the nursing assistant before a pattern develops.

helenmarkerine · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

ANS: D
This is an example of specific, complete communication. It should be followed by giving the nursing assistant an opportunity to repeat what is expected. The other instructions are vague and could leave the nursing assistant wondering what to do.

Answer to Question 2

ANS: A
Documenting the incident in the charge nurse's personal file will allow the charge nurse to later determine whether a pattern develops. If no pattern develops, no harm has been done to the employee's work record. A first instance of tardiness does not require reprimand or termination, but rather an explanation that the expectation for all employees is to be at work on time.