A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identification bracelet, requests to take the newborn to their guardian's room. Which of the following actions should the nurse take?
Check the newborn's identification bracelet with the chart.
Obtain permission from the newborn's guardian.
Respectfully deny the grandparent's request.
Review the newborn's footprint record.
The Correct Answer is C
A. Check the newborn's identification bracelet with the chart: While checking the identification bracelet is important for ensuring the correct identification of the newborn, the request from the grandparent should not be fulfilled without proper identification. It is crucial to prioritize safety and adherence to protocols regarding the newborn's discharge.
B. Obtain permission from the newborn's guardian: Obtaining permission from the newborn's guardian is a necessary step, but the lack of identification from the grandparent still prevents the nurse from allowing the grandparent to take the newborn. The guardian's consent cannot override the identification protocols.
C. Respectfully deny the grandparent's request: Denying the request is the appropriate action in this situation. The nurse must ensure that the newborn is not released to anyone who does not have proper identification, as this is critical for the safety and security of the infant.
D. Review the newborn's footprint record: While reviewing the footprint record can help verify the newborn's identity, it does not address the immediate issue of the grandparent not having an identification bracelet. The nurse's priority should be ensuring that the newborn is only released to authorized individuals with proper identification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Red tag, life-threatening injury requiring immediate intervention: Reserved for clients with compromised airway, severe hemorrhage, or life-threatening injuries requiring immediate treatment. This client is stable, alert, and has no signs of life-threatening conditions.
B. Yellow tag, serious injury requiring delayed but urgent treatment: Applied to clients with significant but non-life-threatening injuries that require medical attention. The client has a large laceration with bleeding and is unable to walk but remains hemodynamically stable, making this the most appropriate classification.
C. Green tag, minor injury requiring minimal treatment: Used for ambulatory clients with minor injuries. The client's inability to walk due to a wound requiring further care excludes them from this category.
D. Black tag, non-survivable injury with expected poor outcome: Assigned to clients with fatal injuries or no signs of life. The client remains alert, oriented, and hemodynamically stable, so this classification is not appropriate.
Correct Answer is D
Explanation
A. Schedule the meeting to occur in the nursing station: Conducting the meeting in the nursing station may not provide the privacy and confidentiality needed for a sensitive discussion about performance issues. A private setting is essential to encourage open communication and a constructive dialogue.
B. Arrange seating to sit across from the nurse: Sitting across from the nurse can create a confrontational atmosphere. It is more effective to arrange seating in a way that fosters collaboration and openness, such as sitting beside the nurse, which can help reduce tension during the conversation.
C. Tell the nurse they need to improve their client care delivery: Directly stating that the nurse needs to improve without first exploring their perspective may be perceived as accusatory and could lead to defensiveness. A more supportive approach is necessary to promote constructive feedback and development.
D. Ask the nurse how things have been going since the last meeting: This action is the most appropriate as it opens the conversation in a non-confrontational manner, allowing the nurse to express their thoughts and experiences. It fosters a supportive environment and encourages the nurse to reflect on their performance and any challenges they may be facing, leading to a more productive appraisal.
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