A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following actions should the nurse plan to take to demonstrate effective time management?

Document assessment findings and interventions after providing care for a group of clients.

Delay cleaning personal work area until the end of the shift.

Gather supplies for a client's dressing change after removing the old dressing.

Complete activities for one client before moving to the next client.

Answer and Explanation

The Correct Answer is D

A.   It's better to document assessment findings and interventions soon after interventions to ensure accuracy and avoid forgetting details.
B.   Delaying cleaning personal work area until the end of the shift could lead to clutter and inefficiency throughout the shift.
C.   Gather supplies for a client's dressing change after removing the old dressing.

Supplies should be gathered beforehand to streamline the process and reduce the time the wound is exposed.
D. This approach helps maintain focus and efficiency, reducing the chance of errors and ensuring that care is fully and effectively provided to one client before moving to another.

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Correct Answer is A

Explanation

A. Distributive justice involves the fair allocation of resources and benefits to all members of society. By ensuring that a homeless client receives preventive medical care, the nurse is promoting fairness and equity in healthcare access.
B. Honesty with the parents about reporting suspected abuse is related to ethical principles such as veracity and autonomy, not distributive justice.

C. This choice involves respect for autonomy rather than distributive justice.

D. This choice relates to the ethical principle of fidelity, ensuring that promises made to clients are upheld, rather than distributive justice.

A. Nausea B. DTR C. Blood pressure D. Fetal heart tracing E. Weight assessment F. Respiratory assessment G. Fundal height H. Lower extremity assessment

Correct Answer is ["B","C","E","G","H"]

Explanation

A. Nausea, while uncomfortable, is a common symptom during pregnancy and should be addressed, but it is not as urgent as the other symptoms in this context.

B. The deep tendon reflex (DTR) being 3+ bilaterally indicates hyperreflexia, which can be associated with conditions like preeclampsia, hence the need for follow-up.
C. The elevated blood pressure reading of 148/94 mm Hg is indicative of hypertension, which could be a sign of preeclampsia, a serious pregnancy complication.
D. The fetal heart tracing, while important, does not show immediate concern with a rate of 140/min, which is within normal limits.
E. The weight gain of 0.68 kg (1.5 lb) within the last week is significant and could be indicative of fluid retention, which is concerning in the context of the client's other symptoms.
F. The respiratory rate of 20/min falls within the normal range, and there are no other indications of respiratory distress or abnormalities in the assessment findings provided. Therefore, respiratory assessment is not a priority for follow-up at this time.
G. The fundal height measurement of 29 cm is appropriate for 30 weeks of gestation, but given the other symptoms, it should be monitored for any rapid changes.
H. The presence of 1+ dependent edema noted bilaterally suggests fluid retention, which is a concerning finding and warrants further assessment to evaluate for signs of preeclampsia or other complications.

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A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following actions should the nurse plan to take to demonstrate effective time management?

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Naxlex Comprehensive Predictor Exams

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