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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Defamation of character involves damaging someone’s reputation, which is not relevant in this context.
B. Slander involves spoken defamation, not applicable here.
C. False imprisonment refers to the unlawful restraint or restriction of an individual’s freedom, which can occur with unauthorized use of restraints.
D. Invasion of privacy involves unauthorized access to personal information or space, not directly related to the use of restraints.
Correct Answer is D
Explanation
Rationale:
A. "Whether or not I am a good lover is irrelevant." does not directly address the inappropriate nature of the comment.
B. "Let's talk about something else." avoids the issue without addressing the inappropriateness of the behavior.
C. "You need to lower your voice. Others can hear you." addresses the volume but not the content of the comment.
D. "Speaking to me like that makes me uncomfortable." directly addresses the inappropriate behavior and communicates the impact on the nurse, which is the most appropriate response.
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