A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?

The emergency department nurse is waiting to give report on a new admission.

Two staff members have called to say they will be absent.

A nurse on the previous shift wrote an incident report about a medication error.

Transport assistance is unavailable to take a client to occupational therapy.

Answer and Explanation

The Correct Answer is A

A. this is the correct choice because this situation is the most urgent and requires immediate action. The charge nurse should prioritize the new admission and assign a staff nurse to receive the report and prepare the room for the client. The charge nurse should also ensure that the client's needs are met and that the admission process is smooth and efficient.

B. This is not the correct choice because this situation is not as urgent as the new admission and can be addressed later. The charge nurse should plan the staffing for the shift and arrange for replacements or reassignments if necessary. The charge nurse should also communicate with the staff members who called in and document their reasons for absence.

C. the medication error report can be done later

D. transport to occupational therapy is not urgent and can wait

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Correct Answer is A

Explanation

To address a problem, establishing the root cause of the problem is the primary step. Understanding the reason behind the behavior allows the solutions to be tailored towards this.

The other options provide solutions which should only happen after the root cause of the issue is well understood.

A. Instructing a client on self-administration of a tap water enema B. Suctioning a client's long-term tracheostomy C. Performing a dressing change on a client's peripherally inserted central catheter D. Using a pain rating scale to monitor a client's pain level

Correct Answer is D

Explanation

Rating the pain scale of a client is a low risk task that can be performed by assistive personnel

A. Self-administration of a tap water enema requires careful training which is the responsibility of a nurse

B. Suctioning a tracheostomy tube is a risky procedure within the scope of a registered nurse

C. Replacing a dressing is a procedure that requires infection control measures therefore a nursing intervention

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A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?

Nursing Test Bank

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