A nurse has assigned client care activities to an assistive personnel (AP). Which of the following statements by the AP Indicates a need for assistance in establishing priorities?

Rationale:

A. A client who reports pain as 4 on a scale of 1 to 10 at 0800 now reports pain as 6 needs pain management, but this is less urgent compared to potential signs of hypotension.

B. A client whose wound drainage at 0800 was sanguineous and now it is serosanguineous indicates normal progression of wound healing; thus, it is less critical.

C. A client who has a prescription for insulin and his premeal capillary blood glucose was 110 mg/dL and his post-meal capillary blood glucose is now 160 mg/dL needs blood glucose management, but this is less urgent than assessing for potential hypovolemia or shock.

D. A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg is experiencing a significant drop in blood pressure, which could indicate hypovolemia or shock. This requires immediate assessment and intervention to prevent complications.

Rationale:

A. Evaluate the results should occur after a resolution has been implemented, not at the initial stage.

B. Brainstorm solutions is a subsequent step after identifying and understanding the problem.

C. Implement a resolution should be done after identifying and brainstorming possible solutions.

D. Identify the problem is the crucial first step in conflict resolution. Understanding the nature of the conflict between the pharmacy and the staff nurses is necessary before moving on to developing solutions or implementing changes.