A nurse observes that a client is receiving medication through an infusion pump that the nurse has not been trained to use.

Which of the following is the most appropriate action for the nurse to take?

Continue administering the medication and observe the client for adverse reactions.

Notify the charge nurse and request the client to be reassigned to another nurse.

Refer to the manufacturer’s guidelines and proceed to use the infusion pump.

Allow another nurse to demonstrate the use of the infusion pump and then take over.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Continuing to administer the medication and observing the client for adverse reactions is inappropriate in this scenario. Lack of training on the infusion pump poses a risk of medication errors, which could lead to patient harm. Proper operation of medical devices requires adequate training and understanding to ensure safety and effectiveness. Observing adverse reactions does not prevent potential errors during administration.

Choice B rationale: Notifying the charge nurse and requesting the client to be reassigned to another nurse is the correct action. Nurses must prioritize patient safety and act within their scope of competence. Communicating the lack of training ensures that the task is reassigned to a qualified nurse who can safely and accurately operate the infusion pump, minimizing risks associated with improper use.

Choice C rationale: Referring to the manufacturer's guidelines and proceeding to use the infusion pump is not the best approach. While guidelines provide technical instructions, nurses need hands-on training to fully understand and safely operate medical devices. Misinterpretation of the guidelines or insufficient familiarity with the pump's mechanisms can lead to errors, compromising patient safety.

Choice D rationale: Allowing another nurse to demonstrate the use of the infusion pump and then taking over may seem reasonable but is not ideal in this case. Demonstration alone cannot guarantee adequate competence, as proper training includes practice and assessment. The immediate priority is to ensure safe medication administration, which requires a trained and experienced nurse to handle the infusion pump directly.

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Correct Answer is B

Explanation

Choice A rationale

Developing a strategy to alert other nurses about the need for change is a later step in the process. Promoting awareness is essential but does not provide a foundation for understanding the necessary improvements or align the team with evidence-based best practices, which must precede this action for effective change.

Choice B rationale

Reviewing evidence-based literature establishes a scientific basis for change, ensuring that new practices are supported by current research. This step aligns with quality improvement principles that emphasize evidence-based interventions, fostering better outcomes and adherence to established standards of care.

Choice C rationale

Creating a new shift reporting process without a preliminary review of best practices risks implementation of ineffective or unsupported strategies. A foundation of evidence-based research ensures the creation of processes that address specific issues and align with optimal nursing practices.

Choice D rationale

Organizing a task force is a collaborative approach but is premature without an evidence-based framework. Reviewing literature to understand effective interventions must guide the task force's focus, ensuring the implementation of strategies that are scientifically validated and beneficial.

A. Ask each staff nurse for information about the problem. B. Listen to what concerns each staff nurse. C. Discuss ways to resolve and meet the needs of each staff nurse. D. Move the staff nurses to a private area.

Correct Answer is B

Explanation

Choice A rationale

Asking for information about the problem involves problem-focused inquiry. While gathering facts is essential, it is not a conflict resolution technique. This approach lacks initial engagement with the individuals’ concerns, making it less effective for addressing emotional or interpersonal aspects of the conflict.

Choice B rationale

Listening to concerns is vital for understanding the underlying causes of the conflict. Active listening facilitates trust, diffuses tension, and enables identification of common ground. This initial step creates an open dialogue, allowing for effective resolution strategies later.

Choice C rationale

Discussing ways to resolve issues prematurely assumes understanding of the conflict’s root causes. Effective resolution requires thorough exploration of concerns and building rapport before proposing solutions. Jumping to solutions might overlook nuanced emotional dynamics.

Choice D rationale

Moving staff nurses to a private area focuses on location rather than the conflict itself. While privacy aids confidentiality, immediate attention to the conflict’s dynamics is more crucial. Addressing emotional concerns ensures meaningful resolution.

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A nurse observes that a client is receiving medication through an infusion pump that the nurse has not been trained to use. Which of the following is the most appropriate action for the nurse to take?

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A nurse observes that a client is receiving medication through an infusion pump that the nurse has not been trained to use.

Which of the following is the most appropriate action for the nurse to take?