NCLEX-PN

deviation from this ordered process may compromise sterility and pose potential harm to the client.(See Using Alternative Methods to Promote Urinary Elimination ) 38. Which of the following behaviors is least appropriate when dealing with fellow staff members?

A.​ Only report conflicts that interfere with client care. B.​ Provide positive feedback and constructive criticism. C.​ Serve as a resource. D.​ Provide input for performance evaluations. Correct Response: A

Explanation: The correct answer is (A) Only report conflicts that interfere with client care. This behavior is least appropriate when dealing with fellow staff members as conflicts can permeate various aspects of healthcare practice, including client care, nursing staff interactions, collaboration with other hospital staff, and the utilization of resources. Addressing conflicts comprehensively, rather than selectively reporting only those with a direct impact on client care, is crucial for fostering a healthy work environment and promoting effective teamwork. In contrast, providing positive feedback and constructive criticism (B) , serving as a resource (C) , and offering input for performance evaluations (D) are all considered appropriate behaviors in professional settings, contributing to positive team dynamics and individual growth. Recognizing the multifaceted nature of conflicts in healthcare is essential for healthcare professionals to effectively manage interpersonal challenges and maintain a supportive working environment. (See Collaboration with Interdisciplinary Teams ) 39. The LPN is participating in a quality improvement project to reduce urinary tract infections (UTIs) for older adult clients in long-term care. It would be appropriate for the LPN to recommend. Select all that apply. A.​ The addition of more liquids to meal trays. B.​ Standardizing the dosing times of prescribed diuretics. C.​ Audio reminders for turning bed-bound clients. Correct Response: A, E Explanation: The correct answers are (A) and (E) . To effectively reduce UTIs in older adults, the LPN can implement significant interventions such as offering more liquids, particularly during and between meals, to counteract the reduced thirst reflex common in this population, which may lead to a fluid volume deficit, a significant factor in UTI development. Additionally, promoting hand hygiene is crucial in preventing healthcare-acquired infections, including UTIs. On the other hand, (B), (C) , and (D) are not pertinent to UTI prevention. Standardizing diuretic dosing times, while potentially helpful in preventing falls, does not directly impact UTI risk. Audio reminders for turning bed-bound clients are more relevant to pressure ulcer prevention, and bath basins, due to bacterial concerns, are discouraged or should be single-use if utilized.(See Performance Improvement Activities ) D.​ Daily bathing using bath basins. E.​ A staff in-service on hand hygiene.

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