A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?
Two nurses had a heated disagreement about a scheduling issue.
A client is refusing care from an assistive personnel of the opposite gender.
Three staff members have called to say they will be absent.
No transport assistance is available to take a client to physical therapy.
The Correct Answer is C
- A: While resolving conflicts is important to maintain a healthy work environment, it may not immediately affect patient care and safety.
- B: Client preferences should be respected, but this situation can usually be resolved by reassigning staff without immediate risk to patient safety.
- C: Staff absences can critically impact patient care due to inadequate staffing, which can lead to increased workload for present staff and compromise patient care.
- D: Transport issues, although they need to be addressed, do not usually pose an immediate threat to patient safety compared to inadequate staffing. Physical therapy can often be rescheduled without significant harm to the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Contacting the nurse manager allows for immediate notification of the incident to someone in authority who can initiate appropriate follow-up and investigation.
B. Involving risk management might be necessary but should come after informing the immediate supervisor or manager.
C. Reassuring the client, while important, should not be the primary action; addressing the issue and initiating appropriate steps should take precedence.
D. Documenting the incident report in the client's chart is important but should follow the immediate notification of the supervisor or manager.
Correct Answer is C
Explanation
A. While an N95 respirator might be used for airborne precautions, for droplet precautions, a surgical mask is sufficient.
B. While an air filtration system might be beneficial for infection control, it is not a specific requirement for implementing droplet precautions.
C. Wearing a surgical mask within a close proximity (around 3 feet) of the client aligns with the guidelines for droplet precautions.
D. Assigning the client to a room with positive airflow is not necessary for implementing droplet precautions, which focus on preventing transmission through respiratory droplets.
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