A licensed nurse in a long-term care facility is in charge of the ...

[mmm]

A licensed nurse in a long-term care facility is in charge of the narcotics cabinet. Which of the following must the nurse ensure when going off duty?
 
  A) Ask the oncoming and outgoing nurse to count the number of remaining drugs.
  B) Count and document the remaining controlled drugs personally.
  C) Ensure that the keys of the narcotics cabinet are kept safely in a drawer.
  D) Provide the oncoming nurse with a verbal record of the remaining drugs.

Question 2

A nurse is providing fingernail care to a client. Which is an appropriate nursing intervention when caring for fingernails?
 
  A) Remove nail polish from the client's nails.
  B) Scrub the client's nails with a rough nail brush.
  C) Leave the client's hands moist.
  D) Clean the client's nails with a strong soap.

[janeli]

Answer to Question 1

A
Feedback:
The oncoming and outgoing nurse should count the number of remaining drugs. The nurse coming on duty must count the drugs, and the nurse going off duty must record and tally the number of controlled drugs. This assures the oncoming nurse that all the drugs are there. The nurse going off duty is not expected to count and document the remaining controlled drugs personally or to provide the oncoming nurse with a verbal record of remaining drugs. The nurse should ensure that the keys of the narcotics cabinet are handed over to the oncoming nurse.

Answer to Question 2

A
Feedback:
The nurse should remove nail polish from the client's nails. Removing nail polish enables inspection of the true condition of the client's nails. It also aids in assessing the client's level of oxygenation. Nails should be scrubbed with a soft brush to remove dirt that has collected under the nails. A rough, hard brush could injure the cuticles. Moist hands are more likely to attract and spread microorganisms. Cleaning the client's nails with strong soaps and washing powders makes nails and cuticles dry.