HESI LPN Exit Exam IV Proctored Exam
A new protocol for fall prevention is being implemented on the medical unit. During safety rounds, the practical nurse (PN) identifies that an unlicensed assistive personnel (UAP) has omitted a vital component of the protocol. After implementing the missing component, which action should the PN take?
Explanation & Rationale
A. Assigning the UAP to more stable clients does not address the immediate issue of the protocol omission and does not ensure that the protocol is followed correctly in the future. B. Completing an unusual occurrence report is not necessary if the omission was corrected and the situation does not involve a significant error or safety issue. C. Reporting to the charge nurse may be appropriate, but the priority is to ensure the UAP understands and follows the protocol, which is best achieved through direct supervision. D. Supervising the UAP and reviewing the protocol ensures that the UAP understands and adheres to the fall prevention protocol moving forward, addressing both the immediate issue and future adherence.
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