A charge nurse delegates to a licensed practical nurse (LPN) the task of changing a client's dressing. Several hours later the client reports the dressing has not been changed. Which of the following actions should the charge nurse take?

Reassign the task to another nurse.

Report the issue to the unit manager.

Change the client's dressing.

Verify the LPN knows how to do a dressing change.

Answer and Explanation

The Correct Answer is D

A. Reassign the task to another nurse: While reassignment may be an option, it does not address the underlying issue. Ensuring the LPN has the knowledge and skill to complete the task is more effective in addressing both immediate and future concerns.

B. Report the issue to the unit manager: Reporting to the manager might be appropriate if the issue persists or reflects repeated non-compliance. However, verifying the LPN's competence and addressing the problem directly should be the first step.

C. Change the client’s dressing: While changing the dressing resolves the immediate client need, it does not address the issue of delegation or why the task was not completed. This approach bypasses the opportunity to assess and support the LPN.

D. Verify the LPN knows how to do a dressing change: Before taking further action, the charge nurse should determine why the task was not completed. If the LPN lacks the knowledge or skill to perform a dressing change, the nurse must address this gap and provide appropriate education or support to ensure client care is not compromised.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:

A. Demonstrating and observing the staff using the device ensures that they can correctly operate the equipment and apply their learning practically.

B. Reviewing the procedure manual is helpful but does not ensure hands-on competency.

C. A written brochure provides information but does not involve practical application.

D. Providing a written procedure is useful but does not confirm that staff can use the device correctly in practice.

A. Withholding a dose of narcotic pain medication when the client has respiratory depression B. Discussing advance directives with the client and the client's family C. Providing comfort care measures to the client D. Allowing the client's family unlimited visitation at the time of death

Correct Answer is A

Explanation

Rationale:

A. Withholding a dose of narcotic pain medication when there is respiratory depression aligns with nonmaleficence, as it prevents further harm by not exacerbating the client's respiratory issues.

B. Discussing advance directives is important but is more related to autonomy and respect for the client’s wishes rather than nonmaleficence.

C. Providing comfort care is a supportive measure but does not specifically address nonmaleficence in terms of preventing harm.

D. Allowing unlimited visitation respects family wishes but does not directly relate to the principle of nonmaleficence regarding the client’s immediate medical needs.

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A charge nurse delegates to a licensed practical nurse (LPN) the task of changing a client's dressing. Several hours later the client reports the dressing has not been changed. Which of the following actions should the charge nurse take?

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