A nurse is caring for a group of clients on the surgical floor. Which of the following actions should the nurse take to organize their workload and manage time efficiently?

Complete similar tasks for all clients before moving on to the next task.

Document nursing interventions as they are completed.

Skip breaks to complete tasks if short on time.

Complete the lowest priority task at the beginning of the shift.

None

Answer and Explanation

The Correct Answer is B

A. Complete similar tasks for all clients before moving on to the next task:
While grouping similar tasks can be helpful, it may not always be the most efficient if client needs vary. Flexibility is needed to address immediate priorities.

B. Document nursing interventions as they are completed:
This ensures that documentation is accurate and timely, preventing delays and reducing the risk of forgetting important details later.

C. Skip breaks to complete tasks if short on time:
Skipping breaks is not a good time-management strategy. Breaks help prevent burnout and maintain productivity.

D. Complete the lowest priority task at the beginning of the shift:
Low-priority tasks should not be prioritized first; urgent, higher-priority tasks should be completed first to ensure client safety and care efficiency.

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Correct Answer is A

Explanation

A. A compromised airway is an immediate life-threatening condition that requires rapid intervention to ensure oxygenation. In mass casualty triage, this client is tagged red (immediate) because airway issues are often quickly reversible with prompt care.

B. A brief loss of consciousness suggests a possible head injury, but if the client is currently stable, it is not the highest priority. This client would likely receive a yellow tag (delayed).

C. Fixed pupils indicate severe neurological damage and are often associated with a poor prognosis. These clients are typically tagged black (expectant/deceased) rather than red.

D. Burns covering 70% of the body surface area have a very low likelihood of survival, especially in a mass casualty situation. These clients are generally tagged black (expectant) because resources are directed toward those with better chances of survival.

A. A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order. B. A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min. C. A nurse elects not to care for a client who had an abortion. D. A nurse raises all four side rails on the bed of a client who is confused.

Correct Answer is B

Explanation

A. A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order:

Withholding nutrition from a client solely based on a DNR order may not align with ethical practice, as nutrition should be provided unless there are specific contraindications or the client has expressed wishes to withhold nutrition.
B. A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min: This is the correct answer. Ethical practice involves providing comfort measures, including appropriate pain management, to clients who are terminally ill and experiencing pain or distress, even if it may inadvertently decrease the respiratory rate.
C. A nurse elects not to care for a client who had an abortion: Refusing to care for a client based on personal beliefs or judgments about their medical history or decisions may not align with
ethical practice, as nurses have a professional obligation to provide nonjudgmental care to all clients.
D. A nurse raises all four side rails on the bed of a client who is confused: While ensuring client safety is important, raising all four side rails without considering the client's individual needs and preferences may not be ethical practice, as it may infringe on the client's autonomy and dignity.

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A nurse is caring for a group of clients on the surgical floor. Which of the following actions should the nurse take to organize their workload and manage time efficiently?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the clients should the nurse assign a red tag?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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