A nurse manager is planning an in-service for a group of nurses about caring for clients following stem cell transplants. Which of the following instructions should the nurse manager include in the teaching?

Choice A rationale:

Documenting client tasks at the end of the shift is not the most effective time-management skill. While documentation is important, it should be done in a timely manner to ensure accuracy and continuity of care. Waiting until the end of the shift might lead to missed details or inaccuracies.

Choice B rationale:

Gathering supplies as needed while completing an activity is a reasonable approach to time management. However, it is not the most effective skill listed. It's often more efficient to gather all necessary supplies before starting a task to minimize interruptions and maximize focus on the activity.

Choice C rationale:

This is the correct choice. Grouping tasks that are in the same location allows the nurse to minimize unnecessary movement and maximize efficiency. By completing tasks in close proximity, the nurse can save time and reduce the need for multiple trips back and forth.

Choice D rationale:

Skipping breaks throughout the day to complete work on time is not a recommended time-management strategy. Adequate breaks are essential for nurses to recharge, prevent burnout, and provide safe and effective care. Skipping breaks can lead to decreased performance, increased stress, and potential errors in patient care.

The correct answer is choice B: A client who has a femur fracture and reports feeling short of breath.

Choice A rationale:

A client who has facial drooping following a stroke 8 hours ago (Choice A) is a concern as it may indicate neurological damage; however, a client with a femur fracture experiencing shortness of breath takes priority due to the potential risk of a pulmonary embolism, a life-threatening complication.

Choice B rationale:

A client who has a femur fracture and reports feeling short of breath (Choice B) is the priority assessment finding. Shortness of breath in this context raises concern for a possible pulmonary embolism, which is a critical condition that requires immediate intervention.

Choice C rationale:

A client who had an appendectomy 12 hours ago and reports pain as 5 on a scale of 0 to 10 (Choice C) is a valid concern, but it is of lower priority compared to a client with a femur fracture and respiratory distress.

Choice D rationale:

A client who had an open cholecystectomy 4 days ago and has serosanguineous drainage on the wound dressing (Choice D) is a normal postoperative finding and does not require immediate attention. While wound assessment is important, it is not the priority in this scenario.