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.
A nurse on the previous shift wrote an incident report about a medication error.
Two staff members have called to say they will be absent.
Transport assistance is unavailable to take a client to occupational therapy.
The Correct Answer is A
Choice A reason: The charge nurse should address the situation of the emergency department nurse waiting to give report on a new admission first. This is the most urgent and time-sensitive issue that affects the client's safety and continuity of care. The charge nurse should assign a staff nurse to receive the report and prepare for the admission.
Choice B reason: The charge nurse should address the situation of a nurse on the previous shift writing an incident report about a medication error second. This is an important and serious issue that requires follow-up and corrective actions. The charge nurse should review the incident report, talk to the nurse involved, and implement measures to prevent future errors.
Choice C reason: The charge nurse should address the situation of two staff members calling to say they will be absent third. This is a significant and challenging issue that affects the staffing and workload of the unit. The charge nurse should contact the staffing office, request replacements, and adjust the assignments accordingly.
Choice D reason: The charge nurse should address the situation of transport assistance being unavailable to take a client to occupational therapy last. This is a minor and temporary issue that does not compromise the client's health or well-being. The charge nurse should contact the transport department, reschedule the therapy session, and inform the client and the therapist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The nurse puts on a face mask is not an action that demonstrates correct aseptic technique. This is an action that should be done before donning a sterile gown and gloves, not after. The nurse should wear a face mask to prevent contamination of the sterile field from respiratory droplets.
Choice B reason: The nurse holds her hands above her waist is an action that demonstrates correct aseptic technique. This is an action that prevents contamination of the sterile gloves from the non-sterile gown. The nurse should keep her hands above her waist and in front of her body at all times.
Choice C reason: The nurse turns her back to the sterile field is not an action that demonstrates correct aseptic technique. This is an action that causes contamination of the sterile field from the non-sterile back of the gown. The nurse should never turn her back to the sterile field or reach over it.
Choice D reason: The nurse touches the outside of the gown is not an action that demonstrates correct aseptic technique. This is an action that causes contamination of the sterile gloves from the non-sterile outside of the gown. The nurse should only touch the inside of the gown or other sterile items.
Correct Answer is D
Explanation
Choice A reason: Closing the fire doors and the doors to the room is an appropriate action, but not the first one that the nurse should take. The nurse should first activate the fire alarm to alert the fire department and the facility staff.
Choice B reason: Extinguishing the fire is an appropriate action, but not the first one that the nurse should take. The nurse should first activate the fire alarm to alert the fire department and the facility staff. Then, the nurse should use the fire extinguisher to put out the fire, following the RACE protocol (rescue, alarm, contain, extinguish).
Choice C reason: Removing clients from nearby rooms is an appropriate action, but not the first one that the nurse should take. The nurse should first activate the fire alarm to alert the fire department and the facility staff. Then, the nurse should evacuate the clients who are in immediate danger, following the RACE protocol (rescue, alarm, contain, extinguish).
Choice D reason: Activating the fire alarm is the first and most appropriate action that the nurse should take. The nurse should activate the fire alarm to alert the fire department and the facility staff. Then, the nurse should follow the RACE protocol (rescue, alarm, contain, extinguish) to protect the clients and the facility.
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