A nurse manager for a medical-surgical unit is preparing the agenda for a unit meeting.
Which items should the nurse manager include in the unit meeting? For each identified item, indicate if the nurse manager should include during unit meeting or if the content should be addressed with a specific individual team member.
Review mandatory nursing skills and competencies for nursing.
Review central line infections rates and causes. Include review of proper care of central lines.
Review the incident of disruptive behavior and discuss the principles of civility and respect.
Review near miss fall and fall precautions, bed position, rounding, and appropriate use of bed or chair alarms.
Meet to talk about mislabeling of laboratory specimen and discuss the policy and procedure for how to do it correctly.
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Review mandatory nursing skills and competencies: This topic is a general unit-wide requirement, so it should be discussed in the unit meeting to ensure all nurses are informed of the schedule and importance of maintaining competencies.
Review central line infections rates: This is a quality and safety issue affecting the entire unit. All team members should be aware of infection control practices, so it is appropriate for the unit meeting.
Disruptive behavior incident: Since disruptive behavior affects the unit's work environment and patient care, the nurse manager should include a review of this issue in the meeting. This provides an opportunity to educate the team about maintaining professionalism and civility.
Near miss fall: Fall prevention and safety are critical topics for the entire team. This should be covered in the unit meeting to reinforce safety protocols and discuss strategies to prevent future incidents.
Mislabeled specimen: This issue involves a specific individual (T.J., the AP), and corrective actions should be taken with them. The nurse manager should meet privately with T.J. to discuss the repeated errors, reinforce the importance of accuracy in specimen labeling, and review policies and procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Ignoring the situation may allow unprofessional behavior to continue, possibly increasing patient distress and undermining the therapeutic environment.
B. Joining the argument escalates conflict and compromises professionalism, potentially damaging relationships and trust among the care team.
C. Leaving the room avoids the issue but does nothing to protect the patient or resolve the unprofessional behavior occurring in their presence.
D. This is correct because the nurse is prioritizing the patient's emotional well-being and safety by minimizing exposure to conflict. It maintains professionalism and sets a boundary for respectful behavior in a care setting. Addressing the situation assertively, yet respectfully, helps de-escalate tension and reinforces standards for patient-centered care.
Correct Answer is ["B","D","E","G","I"]
Explanation
A. Pain is important but not a priority unless the cause of AKI is due to an obstruction.
B. Neurological status is critical because toxin buildup (uremia) can affect cognition and cause confusion or lethargy.
C. GI assessment is less critical in the initial evaluation.
D. Blood pressure and heart rate are essential to assess for fluid volume status and perfusion.
E. Skin integrity and edema give insight into fluid retention, a common issue in AKI.
F. Psychosocial assessment is important but not urgent in the acute setting.
G. Urinary output and color directly reflect kidney function and the effectiveness of perfusion.
H. Nutritional status is relevant but not a top priority during the initial phase of AKI.
I. Respiratory status is prioritized because fluid overload can cause pulmonary edema and respiratory distress.
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