A disagreement has arisen over the transfer process for clients between two hospital units. What is the best way to handle this disagreement?

Ask the director of nursing to establish a policy.

Arrange a meeting of staff from the units to identify key issues

Allow the staff to handle the issue on their own without authoritative interference.

Ask managers from the involved units to determine a solution

Answer and Explanation

The Correct Answer is B

Rationale:
A. While involving the director of nursing may eventually be necessary, this is not the best first step. Escalating the issue to upper administration too early can bypass those directly involved and limit opportunities for collaboration. Effective conflict resolution typically begins at the lowest appropriate level to encourage shared problem-solving and ownership of the solution.

B. This is the best answer because it promotes open communication and collaborative problem-solving between the two units. By arranging a meeting, staff can discuss concerns, clarify misunderstandings, and identify key issues affecting the transfer process. This approach supports teamwork, mutual respect, and development of practical solutions that are more likely to be accepted and sustained.

C. Allowing staff to handle the issue without guidance may lead to unresolved conflict, miscommunication, or inconsistent practices. Without structured discussion or facilitation, the disagreement could worsen or negatively impact patient care and workflow.

D. While involving managers can help, this option excludes the frontline staff who are directly involved in the transfer process. Solutions developed solely by managers may not fully address practical challenges faced by staff and may reduce staff engagement or buy-in.

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Correct Answer is D

Explanation

Rationale

A. 1500 – Too early; the current bag is not yet finished.
B. 1800 – Too late; waiting would cause a 2-hour gap in therapy.
C. 1700 – Too late; waiting would cause a 1-hour gap.
D. 1600 – the current IV bag will finish at this time.

Step 1: Determine the prescribed IV infusion rate. The prescription is 1,000 mL over 8 hours.

Infusion rate = Total volume ÷ Time = 1000 mL ÷ 8 hr = 125 mL/hr

Step 2: Calculate how long it will take to infuse the remaining 500 mL.

Time remaining = Remaining volume ÷ Infusion rate = 500 mL ÷ 125 mL/hr = 4 hr

Step 3: Determine the time to start the next bag. The current time is 1400. Adding the 4 hours it takes to finish the current bag:

1400 + 4 hr = 1600

A. Evacuate the clients to a lower floor. B. Turn off the oxygen supply to the rooms. C. Make a list of clients to discharge. D. Close all the doors to the client's rooms.

Correct Answer is D

Explanation

Rationale:
A. Evacuating clients to a lower floor is part of the fire response plan, but it is not the first action when the fire is not on the nurse’s unit. Immediate evacuation is only necessary if the fire is on the same unit or poses an immediate threat. Acting too quickly without following proper sequence may create unnecessary panic and risk.

B. Turning off the oxygen supply may be appropriate in certain fire situations, especially if oxygen is contributing to combustion. However, this is not the first action and could be dangerous if clients depend on oxygen therapy. This step should only be taken when directed and when it is safe to do so.

C. Making a list of clients to discharge is unrelated to immediate fire safety actions. This does not address the urgent need to protect clients from potential fire hazards.

D. This is the correct answer because according to the RACE fire safety protocol (Rescue, Alarm, Contain, Extinguish/Evacuate), the first priority for a unit not directly involved in the fire is to contain it. Closing all doors helps prevent the spread of smoke and fire, protecting clients and staff. Since the fire is two floors below, containment is the most appropriate immediate action.

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A disagreement has arisen over the transfer process for clients between two hospital units. What is the best way to handle this disagreement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's prescription for 1.000 mL of 5% dextrose in water IV to infuse over 8 hr. At 1400, the nurse observes that there is 500 mL of solution remaining in the client's current IV bag. At what time should the nurse administer the next bag of IV solution?

Correct Answer is D

Explanation

The overhead page has just announced a fire, on a unit two floors below the unit where the staff nurse is working. Which action should the nurse Implement first?

Correct Answer is D

Explanation

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