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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
In this scenario, the nurse has a role to respect the parents’ autonomy but also be an advocate for the health of the client who is a minor. The nurse needs the input of the ethics committee to assist in navigating the ethical dilemma.
The other clients’, A, B and D, do not pose any ethical dilemmas for the nurse as they are adult and can make legally binding decisions.
Correct Answer is C
Explanation
Referral to an occupational therapist is needed when clients experience difficulty with activities of daily living (ADLs) like bathing, grooming, eating and toileting. Bathing relates to personal hygiene whose difficulty may lead to other complications.
Incorrect- A. Walking is an important activity which may need occupational therapy but not as important as bathing
B and D. requires relaxation techniques, analgesics and nutritionist review respectively.
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