Two nurses on a unit each contend that the other is not doing a fair share of work. The conflict is affecting the functioning of the unit. A charge nurse should approach this conflict in which of the following ways?

Schedule the nurses to work on alternating shifts.

Organize a task force to evaluate the situation.

Tell the nurses that it is their responsibility to cooperate with coworkers.

Explore alternative solutions to address unit workflow with the nurses.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D: Explore alternative solutions to address unit workflow with the nurses.

Choice A rationale:

Scheduling the nurses to work on alternating shifts (Choice A) might alleviate the immediate conflict, but it doesn't address the root cause of the issue, which is their perceived unequal workload. This approach could also disrupt the unit's continuity of care and potentially lead to further conflicts.

Choice B rationale:

Organizing a task force to evaluate the situation (Choice B) could be beneficial in the long run for identifying systemic issues contributing to the conflict. However, this approach might take time to yield results. In the meantime, the conflict could continue to negatively impact the unit's functioning.

Choice C rationale:

Telling the nurses that it's their responsibility to cooperate with coworkers (Choice C) is oversimplifying the situation. While cooperation is important, conflicts often arise from deeper issues that need to be addressed constructively. This choice doesn't provide a clear plan for resolving the workload disparity.

Choice D rationale:

Exploring alternative solutions to address unit workflow with the nurses (Choice D) is the most effective approach. By engaging the nurses in problem-solving discussions, the charge nurse can identify the reasons behind their perception of unfair workload distribution and collaboratively develop strategies to ensure a more equitable division of tasks. This approach promotes communication, collaboration, and shared accountability.

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Correct Answer is D

Explanation

Choice A rationale:

A podiatrist specializes in foot-related issues. Osteoarthritis primarily affects joints, so referring the client to a podiatrist would not directly address their difficulty in buttoning clothes.

Choice B rationale:

A social worker typically addresses psychosocial needs, including emotional and financial concerns. While important, this role wouldn't directly address the client's physical difficulty with buttoning clothes due to osteoarthritis.

Choice C rationale:

Paramedical technologists are skilled in various diagnostic tests and procedures. However, they are not directly involved in assisting clients with activities of daily living or improving physical function.

Choice D rationale:

An occupational therapist (OT) specializes in helping clients regain and enhance their ability to perform daily activities, such as dressing, grooming, and self-care. For the client with osteoarthritis struggling to button clothes, an OT would assess their physical limitations and provide strategies or adaptive tools to improve independence in these activities.

A. A client who has a penetrating head injury and respiratory rate of 4/min. B. A client who has a comminuted fracture of the femur. C. A client who has a 15.2-cm (6-in) laceration to the scalp with clotted blood visible. D. A client who has a sucking chest wound.

Correct Answer is D

Explanation

Choice A rationale:

A client who has a penetrating head injury and a respiratory rate of 4/min requires immediate attention due to the critical nature of the head injury and the dangerously low respiratory rate. However, in an emergency situation like this, the priority would be a condition that could be rapidly fatal if not addressed promptly.

Choice B rationale:

A client with a comminuted fracture of the femur has a serious injury that requires assessment and treatment, but it is not an immediately life-threatening condition. It falls lower in the priority compared to conditions that directly impact respiratory and cardiovascular function.

Choice C rationale:

A client with a 15.2-cm laceration to the scalp with clotted blood visible also requires attention, but it is not as time-sensitive as a life-threatening condition. Controlling bleeding and cleaning the wound can be addressed after addressing more critical cases.

Choice D rationale:

Correct. A client with a sucking chest wound has a high risk of tension pneumothorax, a condition where air accumulates in the pleural space, leading to lung collapse and compromised circulation. This condition can be rapidly fatal. Immediate intervention is required to seal the wound and prevent further air from entering the pleural space.

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Two nurses on a unit each contend that the other is not doing a fair share of work. The conflict is affecting the functioning of the unit. A charge nurse should approach this conflict in which of the following ways?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has osteoarthritis and reports difficulty buttoning their clothes. The nurse should recommend a referral for the client to which of the following members of the interprofessional team?

Correct Answer is D

Explanation

A nurse in an emergency department is admitting clients following an earthquake. The emergency disaster plan has been implemented due to the anticipated arrival of a large number of casualties. Which of the following clients should the nurse recommend the provider evaluate first?

Correct Answer is D

Explanation

Two nurses on a unit each contend that the other is not doing a fair share of work. The conflict is affecting the functioning of the unit. A charge nurse should approach this conflict in which of the following ways?

A nurse is caring for a 19-year-old client who has just been informed that their cancer has metastasized. The client tells the nurse that they do not want to continue chemotherapy. Which of the following responses should the nurse make?

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A charge nurse is planning client care assignments for a unit. Which of the following tasks should the nurse assign to a licensed practical nurse (LPN)?

A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the following actions should the charge nurse identify as demonstrating sterile technique?

A nurse is caring for a client who requests pain medication. The nurse fulfills a promise to return with the medication within 15 minutes. The nurse is demonstrating which of the following ethical principles?

A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is referred to the ethics committee. Which of the following actions should the nurse expect the committee to take?

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