The nurse is a very busy charge nurse with responsibilities for a unit with 24 acute care patients. An experienced nursing assistant is assigned to the unit. The nursing assistant notes that the IV pump is beeping because the tubing appears kinked
The assistant unkinks the tubing, and this resets the pump. The assistant reports the action to the nurse. It is most important that the nurse:
a. thank the nursing assistant for taking the initiative to correct the problem and to "keep up the good work."
b. provide the assistant with additional instructions on safety in IV management.
c. warn the other staff to watch out for the nursing assistant because she works beyond her scope.
d. explain that help is appreciated; however, legally the nursing assistant cannot perform the action.
ANS: D
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