The nurse manager conducts regular audits of patient care medication records and notices that the amount of narcotic pain medications administered during the evening shift on a postsurgical unit is higher than usual. Which action should the nurse manager take first?
Conduct a closer examination of staff nurse's distribution of pain medication from evening shift.
Hold a mandatory staff meeting to discuss the findings of documentation audits from every shift.
Question clients about effectiveness of pain medication.
Discuss with healthcare provider a plan to change client analgesia.
The Correct Answer is A
Choice A rationale: Conducting a closer examination of staff nurses' distribution of pain medication is the first step to identify any issues or patterns contributing to the higher than-usual administration of narcotic pain medications.
Choice B rationale: Holding a mandatory staff meeting may be necessary, but a focused examination should precede broader discussions.
Choice C rationale: Questioning clients about the effectiveness of pain medication is an important aspect of the investigation but should follow a thorough examination of medication distribution.
Choice D rationale: Discussing with the healthcare provider about changing client analgesia may be considered later based on the findings of the examination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Reminding the client about new treatments does not address the refusal to write do-not-resuscitate instructions and may not be the most appropriate action.
Choice B rationale: While facilitating a palliative care meeting is important for addressing end-of-life care, it doesn't directly address the provider's refusal to write do not-resuscitate instructions.
Choice C rationale: Providing the healthcare provider with a copy of the client's bill of rights may not be the most effective action in this situation.
Choice D rationale: Initiating a review of the situation by the hospital's ethics committee is appropriate when there is a disagreement between the client's wishes and the healthcare provider's refusal. The ethics committee can help navigate and resolve ethical concerns.
Correct Answer is D
Explanation
Choice A rationale: While understanding staff opinions on healthcare insurance costs is valuable, being available to discuss changes in health benefits is more directly related to the implementation of the new plan.
Choice B rationale: Announcing the new plan at a special employee wellness event is important, but being available to discuss the changes on all shifts ensures that all staff members have the opportunity to understand and address their concerns.
Choice C rationale: Surveying nurses to see who wants to keep the old benefits plan may not be as effective as being available to all shifts for direct communication about the changes.
Choice D rationale: Being available to all shifts to discuss the changes in health benefits is crucial for effective communication and addressing any concerns or questions that may arise during the implementation of the new plan.
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