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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This is primarily the provider's responsibility. The nurse can support the provider by providing information about the procedure and alternative options if requested.
B. While the nurse can provide general information about the procedure, the provider is typically responsible for discussing the specific risks and benefits with the client.
C. This is the responsibility of the medical records department or the provider's office staff. The nurse may be involved in ensuring that the original signed consent is obtained and properly documented.
D. The nurse's role is to verify that the client fully understands the procedure and has given informed consent. This involves assessing the client's comprehension of the information provided by the provider. If the client has any questions or concerns after the provider's explanation, the nurse can clarify them to ensure complete understanding.
Correct Answer is B
Explanation
A. Withholding the opioid may lead to inadequate pain relief, which isn't the best approach, especially in a terminally ill patient experiencing severe pain.
B. Continuing the medication dosages that relieve pain is important for the client's comfort, even if it causes somnolence.
C. Contacting the provider to consider an NSAID might be an option, but immediate relief should not be compromised while awaiting a change in medication.
D. Withholding the benzodiazepine might be considered if the sedation is excessive, but prioritizing pain relief is crucial in end-of-life care unless there are severe adverse effects.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.