Final answer:
The nurse will need to provide further teaching if a nursing assistant leaves both side rails down after a hip pinning surgery, as it could lead to patient falls and injury. Answering calls promptly and keeping necessary items within reach are considered proper care.
Step-by-step explanation:
The registered nurse would determine that the nursing assistant needs further teaching if the nurse observes the nursing assistant leaving both side rails down on the bed. After a hip pinning surgery, it is essential to maintain patient safety to prevent falls and further injury. Ensuring that at least one side rail is up can help protect the patient. In contrast, actions such as answering the client's call bell promptly, keeping the call bell within the client's reach, and placing the client's personal articles and telephone within reach are all appropriate and indicate good nursing care.
It is crucial for nursing assistants to understand the risks patients face after hip surgery, such as respiratory failure, pneumonia, pressure sores, and urinary tract infections due to immobility. Therefore, part of the nursing assistant's job is to assist with patient mobility and ensure equipment and personal items are within reach to help prevent these complications.