A charge nurse is coordinating a consult with a wound care specialist for a client who has a pressure injury. Which of the following actions should the charge nurse take?

Request the consultation after several wound care treatments are tried.

Provide the consultant with subjective opinions and beliefs about the client's wound care.

Arrange for the wound care specialist to see the client daily.

Schedule the consultation at a time when the nurse caring for the client can attend.

Answer and Explanation

The Correct Answer is D

A. Requesting a consultation only after several treatments may delay appropriate care. Consults should be made promptly based on the client's needs.

B. Providing subjective opinions and beliefs is inappropriate; objective, factual information about the client’s condition and treatment should be shared with the consultant.

C. Daily visits by the wound care specialist may not be necessary and could strain resources; a consult should focus on evaluating and advising rather than ongoing daily visits.

D. Scheduling the consultation at a time when the nurse caring for the client can attend ensures continuity of care and allows the nurse to discuss the client's condition and treatment plan directly with the specialist.

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Correct Answer is D

Explanation

A. Taking over the client's care may temporarily solve the problem but does not address the conflict or facilitate a resolution between the two nurses.

B. Termination is an extreme action and is not warranted in this situation. Conflict resolution should be attempted before considering disciplinary actions.

C. While mediation may be helpful, it is not the most immediate solution in this situation. The charge nurse can initially intervene directly to de-escalate the situation.

D. Escorting the nurses to the lounge allows them to continue the conversation in a more private setting, away from patients and other staff, reducing disruption to the work environment. It also gives the charge nurse a chance to mediate and calm the situation.

A. Provide advice to a client over the telephone. B. Insert an NG tube for a client. C. Teach a client how to walk on crutches. D. Perform a simple dressing change for a client.

Correct Answer is D

Explanation

A. Providing advice over the telephone requires clinical judgment and assessment, which are beyond the scope of practice for assistive personnel (AP). This task should not be delegated.

B. Inserting an NG tube is an invasive procedure that requires advanced training and skill, so it is not within the scope of the AP. This task must be performed by a nurse or another licensed provider.

C. Teaching a client how to walk on crutches involves instruction and monitoring, which requires the clinical judgment and teaching skills of a nurse or physical therapist, making it unsuitable for AP delegation.

D. Performing a simple dressing change is a routine and basic task that can be safely delegated to an AP, as long as the task does not require sterile technique or complex wound care.

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A charge nurse is coordinating a consult with a wound care specialist for a client who has a pressure injury. Which of the following actions should the charge nurse take?

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Naxlex Comprehensive Predictor Exams

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