A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster.
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"A nurse can recommend clients who are stable for discharge during a disaster."
"A unit nurse has the authority to prescribe emergency medications during a disaster."
"A nurse should communicate with the performance improvement committee during a disaster to improve client outcomes."
"A unit nurse can provide information to the media during a disaster."
The Correct Answer is A
A. "A nurse can recommend clients who are stable for discharge during a disaster." - This statement demonstrates an understanding of the role of nurses during a disaster. Nurses may need to prioritize patients for discharge to free up resources for those in critical need.
B. "A unit nurse has the authority to prescribe emergency medications during a disaster." - Nurses do not have the authority to prescribe medications outside of their scope of practice or without proper authorization, even during a disaster.
C. "A nurse should communicate with the performance improvement committee during a disaster to improve client outcomes." - While communication with relevant committees may be
important, it is not a primary role of nurses during a disaster.
D. "A unit nurse can provide information to the media during a disaster." - Providing information to the media should be coordinated through designated spokespersons or public relations personnel, not individual nurses, to ensure accurate and appropriate messaging.
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Correct Answer is D
Explanation
- Rationale for A: Observing the client's condition is an ongoing assessment task and while it is important, it is not the immediate action to take when a change in condition is noted. The nurse has already noticed a change, and further observation should follow intervention, not precede it.
- Rationale for B: Completing an incident report is a task that is done after an adverse event or error has occurred and been addressed. It is not the first action to take when a client's condition requires intervention, as it does not directly address the client's immediate needs.
- Rationale for C: Informing the nursing supervisor is an appropriate step, but it is not the first action to take. The supervisor may assist in the situation, but the provider who can give medical orders should be notified first to address the client's condition promptly.
- Rationale for D: Notifying the provider is the correct first action because the provider can assess the situation, make medical decisions, and order immediate interventions. This is the most direct way to initiate the necessary medical response to the client's change in condition.
Correct Answer is A
Explanation
A. Reinforcing dietary teaching with a client who has heart disease: This task is within the scope of the LPN
B. Providing postmortem care for a client who has just died: Postmortem care involves emotional and physical aspects that are typically performed by registered nurses.
C. Accompanying a client who just had a wound debridement to physical therapy: This task may require assessment and coordination of care, which are typically performed by registered nurses.
D. This task can be done by a UAP
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