The nurse is planning care for four postoperative clients, each with a different drainage system. Which information, received in report, requires immediate follow-up intervention by the nurse?

Choice A reason: The client is grieving normally in response to her husband's death and hospitalization is not necessary is not the best information for the nurse to provide this family. This may be insensitive and dismissive of the family's concerns and the client's condition. The client may have signs of delirium or dementia that require further evaluation.

Choice B reason: Managed care providers have mandatory pre-certification requirements for hospitalization is the best information for the nurse to provide this family. This informs the family of the process and criteria that need to be met before the client can be admitted to the hospital under the managed healthcare plan. This may help the family understand the limitations and expectations of the plan.

Choice C reason: Healthcare costs are escalating because clients want to have diagnostic testing conducted in the hospital is not the best information for the nurse to provide this family. This may be inaccurate and irrelevant to the family's situation. The family may not care about the healthcare costs as much as the client's well-being.

Choice D reason: Managed healthcare plans do not pay for any in-hospital medical evaluations is not the best information for the nurse to provide this family. This may be false and misleading. Managed healthcare plans may cover some in-hospital medical evaluations depending on the plan and the client's condition.

Choice A reason: The number of clients leaving the unit for diagnostic tests is not the most important information for the charge nurse to consider. The charge nurse should focus on the needs and conditions of the clients who are staying on the unit and require nursing care. The charge nurse should also ensure that the clients who are leaving the unit are accompanied by appropriate staff and have their medications and equipment ready.

Choice B reason: The acuity level of the clients on the unit is the most important information for the charge nurse to consider. The acuity level reflects the complexity and intensity of the clients' needs and the amount of nursing care they require. The charge nurse should assess the acuity level of the clients on the unit and compare it with the available staff and resources. The charge nurse should also consider the potential changes in the clients' conditions and the expected admissions and discharges.

Choice C reason: The physician's plans to perform procedures on the unit is not the most important information for the charge nurse to consider. The charge nurse should coordinate with the physician and the staff to ensure that the procedures are performed safely and efficiently. However, the charge nurse should not base the staffing decision solely on the physician's plans, as they may change or be delayed. The charge nurse should also consider the overall needs and status of the clients on the unit.

Choice D reason: The skill level of the personnel staffing the unit is not the most important information for the charge nurse to consider. The charge nurse should evaluate the skill level of the staff and assign them to the appropriate clients and tasks. The charge nurse should also provide supervision and guidance to the staff and ensure that they follow the policies and standards of care. However, the charge nurse should not base the staffing decision solely on the skill level of the staff, as they may not be sufficient or suitable for the clients' needs. The charge nurse should also consider the acuity level and the number of the clients on the unit.