A nurse is providing care to a group of clients. Which of the following steps should the nurse plan to take to manage time effectively? (Select all that apply.)
Document completed nursing interventions at the end of the day.
Complete small tasks first that require the least amount of time and energy
Organize tasks around the priority needs of the clients.
Create a list of all planned activities
Delegate tasks to assistive personnel.
Correct Answer : B,C,D,E
Rationale:
A. This option is incorrect because documenting all nursing interventions only at the end of the day can lead to omissions, inaccuracies, and potential errors. Timely documentation after each intervention ensures accuracy, accountability, and legal compliance.
B. This option is correct because completing small tasks first can help reduce the overall workload and create momentum for managing more complex tasks. It also prevents minor tasks from accumulating and interfering with priority care.
C. This option is correct because organizing tasks around the priority needs of clients ensures that care is delivered safely and effectively. Addressing urgent or high-priority needs first helps prevent complications and promotes positive client outcomes.
D. This option is correct because creating a list of planned activities allows the nurse to visualize the workload, plan efficiently, and track completed and pending tasks, which improves time management and organization.
E. This option is correct because delegating appropriate tasks to assistive personnel maximizes efficiency, allows the nurse to focus on higher-priority or more complex interventions, and ensures timely completion of care for all clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. This option is incorrect because a client with anorexia and a BMI of 23 is at risk for nutritional concerns, but their condition is not immediately urgent. While important, it does not require the highest priority for an interdisciplinary care conference.
B. This option is incorrect because a client with COPD and an oxygen saturation of 92% is stable. Although ongoing monitoring and management are needed, this does not necessitate immediate interdisciplinary discussion compared with more complex or higher-risk situations.
C. This option is correct because a client who is 1 week postoperative following a hip fracture is at increased risk for complications such as infection, delayed healing, deep vein thrombosis, and impaired mobility. An interdisciplinary care conference involving nurses, physical and occupational therapists, social workers, and physicians can help coordinate care, address rehabilitation needs, and prevent complications, making this client the highest priority for collaborative planning.
D. This option is incorrect because decreased mobility and constipation are common concerns in long-term care and can be managed with routine interventions. While important, they do not require the immediate coordination and problem-solving that a postoperative hip fracture client does.
Correct Answer is A
Explanation
Rationale:
A. This option is correct because clients with emphysema, a type of chronic obstructive pulmonary disease (COPD), often experience decreased lung function and chronic hypoxemia. Supplemental oxygen therapy is frequently prescribed to maintain adequate oxygen saturation, prevent complications such as hypoxia-induced organ dysfunction, and improve overall quality of life. An oxygen concentrator is a safe and practical device for home use, providing a continuous supply of oxygen without the need for frequent tank replacements. The nurse case manager should anticipate that the client will need this equipment, provide teaching on its use, monitor oxygen saturation, and ensure the client understands safety precautions, such as avoiding open flames near the device.
B. This option is incorrect because a blood glucose monitor is indicated for clients with diabetes or other conditions requiring glucose monitoring. While some clients may have comorbidities, a client with emphysema alone does not routinely need a glucose monitor.
C. This option is incorrect because an IV pump is used for continuous intravenous therapy, such as medications or fluids, which is not part of standard home care for a stable client with emphysema. Use of an IV pump at home would typically be reserved for clients receiving specialized treatments like chemotherapy or parenteral nutrition.
D. This option is incorrect because a straight catheter kit is used for intermittent catheterization, typically for clients with urinary retention or neurologic disorders affecting bladder function. It is not a standard requirement for a client with emphysema unless another underlying condition necessitates its use.
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