A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?
Two staff members have called to say they will be absent.
Transport assistance is unavailable to take a client to occupational therapy.
The emergency department nurse is waiting to give report on a new admission
A nurse on the previous shift wrote an incident report about a medication error.
The Correct Answer is C
A. Staffing issues are important as they can affect the workload and safety of the unit. However, the immediate concern is usually related to direct patient care. This situation should be addressed promptly to ensure coverage and proper delegation of tasks, but it is not the most urgent concern compared to issues directly affecting patient safety or emergency situations.
B. While this issue affects the logistical aspects of patient care, it is less critical compared to urgent patient care needs or emergencies. Arranging alternative transport solutions or rescheduling the therapy session should be addressed, but it is not as immediate as other concerns.
C. This situation should be addressed first because timely handoff of patient information is crucial for continuity of care. The new admission could require immediate attention, and a delay in receiving the report could impact patient care.
D. While an incident report about a medication error is significant and should be reviewed and addressed, it does not require immediate action in the same way that ensuring patient care continuity does. The charge nurse should review the incident report and follow up as necessary, but it is not as urgent as the need to receive a report on a new admission from the emergency department.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While a dietitian is crucial for managing nutritional needs, which can be affected by a stroke, they are not the primary professional to address mobility issues. The dietitian would be more relevant if there were concerns about nutritional intake or swallowing difficulties related to the stroke.
B. A social worker plays a key role in providing support related to social, emotional, and financial aspects of care. They help with discharge planning, access to community resources, and addressing psychosocial issues. While important, they are not primarily focused on physical rehabilitation or mobility issues.
C. An occupational therapist assists clients with regaining the ability to perform daily activities and can help with adaptive techniques and equipment for improving independence. While they can address some mobility issues, their primary focus is on activities of daily living (ADLs) and fine motor skills rather than gross motor skills related to walking.
D. A physical therapist is specifically trained to address mobility issues, improve strength, balance, and coordination, and help clients with walking difficulties. They design and implement rehabilitation programs that are essential for clients recovering from a stroke and having trouble walking.
Correct Answer is D
Explanation
A. A DNR prescription is a legally binding document that reflects the client's wishes regarding resuscitation. The consent of the partner or any other individual cannot reverse or override this directive.
B. Initiating chest compressions would be in violation of the DNR order. The DNR order indicates that the client does not want resuscitation efforts to be performed. Respecting the DNR order is crucial, as it reflects the client’s wishes regarding their end-of-life care.
C. While involving social services may be appropriate to provide emotional support and address any family conflicts or concerns, it is not the immediate action needed in this critical situation. The immediate priority is to adhere to the DNR order, which is a legal directive that must be followed.
D. The nurse must follow the DNR order, as it represents the client’s explicit wishes regarding their care
in the event of cardiac arrest. Adhering to the DNR is essential to respect the client’s autonomy and legal rights. The nurse should ensure that all actions are in compliance with the client’s documented wishes and provide support to the partner by explaining the situation and offering appropriate emotional support or referrals.
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