A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

Provide coverage for the nurses' breaks

Review facility policies for taking scheduled breaks

Determine the reasons the nurses are not taking scheduled breaks

Discuss time management strategies with the nurses

Answer and Explanation

The Correct Answer is C

Choice A reason: Providing coverage for the nurses' breaks is a possible action that the charge nurse can take, but it is not the first one. The charge nurse should first assess the situation and identify the factors that are preventing the nurses from taking their breaks.

Choice B reason: Reviewing facility policies for taking scheduled breaks is an important action that the charge nurse can take, but it is not the first one. The charge nurse should first communicate with the nurses and understand their perspectives and needs.

Choice C reason: Determining the reasons the nurses are not taking scheduled breaks is the first action that the charge nurse should take. This will help the charge nurse to address the root cause of the problem and provide appropriate support and guidance to the nurses.

Choice D reason: Discussing time management strategies with the nurses is a helpful action that the charge nurse can take, but it is not the first one. The charge nurse should first determine if the nurses are facing any barriers or challenges that are affecting their ability to take their breaks.

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Correct Answer is B

Explanation

Choice A reason: A client who reports shortness of breath and left neck and shoulder pain may have a cardiac problem, which is a serious condition. However, this client is not the highest priority, as the symptoms are not life-threatening at the moment.

Choice B reason: A client who has active bleeding from a puncture wound of the left groin area is the highest priority, as this client is at risk of hemorrhage, shock, and infection. The nurse should apply direct pressure to the wound, elevate the leg, and monitor the vital signs.

Choice C reason: A client who has a raised red skin rash on his arms, neck, and face may have an allergic reaction, which is a potential emergency. However, this client is not the highest priority, as the symptoms are not severe enough to indicate anaphylaxis.

Choice D reason: A client who reports right-sided flank pain and is diaphoretic may have a kidney stone, which is a painful condition. However, this client is not the highest priority, as the symptoms are not life-threatening unless there is an obstruction or infection.

A. Evaluate the outcomes B. Implement the findings C. Formulate a question D. Search for evidence

Correct Answer is C

Explanation

Choice A reason: Evaluating the outcomes is not the first step in the evidence-based practice process, but the last one. The nurse should evaluate the outcomes after implementing the findings and comparing them with the expected results.

Choice B reason: Implementing the findings is not the first step in the evidence-based practice process, but the fourth one. The nurse should implement the findings after searching for evidence, appraising the quality and relevance of the evidence, and synthesizing the evidence.

Choice C reason: Formulating a question is the first step in the evidence-based practice process, as it helps to define the problem, the population, the intervention, the comparison, and the outcome. The nurse should formulate a question that is clear, specific, and answerable.

Choice D reason: Searching for evidence is not the first step in the evidence-based practice process, but the second one. The nurse should search for evidence after formulating a question, using appropriate sources, keywords, and strategies.

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A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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