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?

Determine the reasons the nurses are not taking scheduled breaks

Provide coverage for the nurses' breaks

Review facility policies for taking scheduled breaks

Discuss time management strategies with the nurses

Answer and Explanation

The Correct Answer is A

a.   Determining the reasons behind the nurses not taking scheduled breaks is essential to address any underlying issues or concerns that may be contributing to the behavior.
b.   Providing coverage for the nurses' breaks may be necessary but should come after understanding why they are not taking breaks in the first place.
c.   Reviewing facility policies for taking scheduled breaks is important, but understanding the reasons for non-compliance should be the first step in addressing the issue.
d.   Discussing time management strategies with the nurses may be helpful, but it should come after identifying the root cause of their behavior.

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Correct Answer is D

Explanation

a. Managing type 1 diabetes with an insulin pump may require coordination with the diabetic care team but doesn't necessarily warrant an interdisciplinary conference.
b. A therapeutic level of aPTT indicates effective anticoagulant therapy, which may require monitoring but typically does not necessitate an interdisciplinary conference.

c. Orthostatic hypotension and IV fluid therapy may require coordination among the nursing and medical teams, but an interdisciplinary conference is not typically indicated solely for this reason.
d. A client at risk for pressure ulcers with an albumin level of 4.2 g/dl suggests potential nutritional issues and tissue viability concerns, necessitating collaboration among various healthcare professionals for comprehensive care planning.

A. A client who has Alzheimer’s disease and bacterial pneumonia with newly onset restlessness B. A client who is newly admitted with diabetes mellitus and whose fasting blood glucose level is 200 mg/dL C. A client who is 24 hours postoperative following surgical reduction of a hip fracture and reports a pain level of 7 on a scale from 0-10 D. A client who is 3 days postoperative following abdominal surgery and is ready for discharge

Correct Answer is A

Explanation

a. A client with Alzheimer's disease and bacterial pneumonia experiencing newly onset restlessness may indicate a change in condition requiring immediate assessment and intervention.
b. While a fasting blood glucose level of 200 mg/dL in a newly admitted client with diabetes mellitus is concerning, it may not require immediate assessment compared to acute changes in condition.
c. A pain level of 7 in a client 24 hours postoperative following hip surgery is significant but may not be as urgent as assessing a client with newly onset restlessness.
d. A client 3 days postoperative and ready for discharge may require routine assessment but is not likely to require immediate attention compared to other clients with acute changes in condition.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

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