A newly licensed nurse is floating to an unfamiliar unit and determines that he does not have sufficient experience to safely care for his assigned clients. Which of the following actions should the nurse take?
Notify the risk manager.
Request that the charge nurse modify the assignment.
Document the concern in the nurse's notes.
Accept the assignment with help from assistive personnel on the unit.
The Correct Answer is B
A. While notifying the risk manager might be appropriate if there is an ongoing pattern of safety concerns or systemic issues, it is not the most immediate or direct way to address the immediate concern of the nurse's inability to safely care for clients in an unfamiliar unit.
B. The charge nurse has the authority to modify assignments and can reassign clients or adjust responsibilities based on the nurse's experience and competency. By communicating the concern to the charge nurse, the newly licensed nurse can ensure that clients receive safe and effective care, and the charge nurse can make adjustments to better align the assignment with the nurse's experience level.
C. Documenting the concern in the nurse's notes is important for record-keeping but does not address the immediate need for reassignment or adjustments. Documentation is useful for future reference or to support any formal complaints or reviews but does not solve the current issue of inadequate experience for the assigned tasks.
D. Accepting the assignment while relying on assistive personnel may compromise patient safety if the nurse does not have the necessary experience. Although assistive personnel can provide support, they cannot substitute for the nurse's clinical judgment and skills.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Fixed pupils indicate a potential severe neurological issue, such as brain injury or death. However, this sign alone does not necessarily mean that immediate intervention would be effective. In a triage setting, clients with fixed pupils are often classified as having a very poor prognosis and might be tagged as black (deceased) if their condition is deemed non-salvageable, rather than red.
B. A brief loss of consciousness (syncope) can be a sign of various issues, but it might not immediately signify a life-threatening condition requiring immediate intervention. In a triage setting, this client would likely be assessed for further symptoms and categorized based on their overall condition and immediate needs.
C. A compromised airway is a critical and life-threatening condition. In triage, clients with compromised airways are given a red tag because they require immediate intervention to secure the airway and
ensure breathing. Without prompt treatment, this client’s chances of survival are significantly reduced.
D. While major burns covering 70% of the body are severe and life-threatening, the immediate need for intervention and the likelihood of survival with immediate treatment are crucial considerations. In a triage scenario, such clients are often tagged based on the availability of resources and their overall prognosis.
Correct Answer is A
Explanation
A. The nurse's role in the informed consent process typically includes witnessing the client's signature on the consent form. This action confirms that the client has signed the document voluntarily and understands the consent form's content. The nurse does not provide the consent but ensures that the
client’s signature is properly recorded.
B. Teaching the client about the risks involved with the procedure is not typically within the nurse's role. This task is usually the responsibility of the provider or surgeon who performs the procedure. The provider is responsible for explaining the risks, benefits, and alternatives to the client.
C. Explaining the procedure to be performed is also not typically within the nurse’s role. This explanation should be done by the provider or surgeon who will perform the procedure. The provider has the detailed knowledge necessary to describe the procedure, including its steps, risks, and expected outcomes.
D. Providing information about alternative procedure options is part of the informed consent process but is generally done by the provider. The provider is responsible for presenting all possible alternatives to the client, along with their potential risks and benefits.
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